hparra
I recently left my job at UC Irvine, where I worked in telemedicine research and IT. I can only repeat what ahi and veb have already said, bureaucracy, specifically bureaucracy on all levels, departments, organizations, insurance companies, state and federal bodied, regulations, and fear, are the cause for stagnation. I've seen too many innovative solutions squashed because someone in management was convinced it wasn't "HIPAA-compliant".
If I had to choose one reason, however, it would be insurance companies. Why? Insurance companies choose what to reimburse, and they're not reimbursing for technology-based preventative and/or virtual care. My first response on HN was on this exact subject: http://news.ycombinator.com/item?id=2256119
Statistically, the chances of PG accepting me into this latest YC class are slim to none, so I'll be spending quite a bit of time loading up on leisure and knowledge before making the final decision to bootstrap my startup: training in BJJ/MMA, surfing, and filling in some holes in my CS knowledge. I never received a formal functional programming education, so I'm powering through "The Structure and Interpretation of Computer Programs" on my nook, using Clojure instead of Scheme. I would like to learn more about message queues and NoSQL, maybe some Python like yourself, and clean up some projects I've recently open-sourced. And ruby-serialport, which I maintain, could use another release, perhaps a little website too. Heck, I could use a nicer website...
I have some travel plans as well. Staying with friends in the east coast, and visiting family in South America. Depending on what happens, I may travel more. As a Third Culture Kid, I miss the foreign and new very much. Coincidently, I'm exploring the wild idea of traveling and collaborating with other developers on OSS, a la Paul Erdos, except without the academic papers, or the amphetamines.
My only clearcut advice is not to forget about health insurance. The last thing we need is a broken arm to wipe out our savings.
I wish you the best of luck!
A beautiful deck, may I add!
And fill out your "About" page. That's always one the first sections I look at.
Evernote may be excellent for certain workflows, but it just didn't jive with me. The concepts of documents, books, and tagging became a sort of work in itself.
What I really needed was a giant flexible outline: WorkFlowy. I recommend this simple but powerful mind tool without reservation.
On a related note, when I was a teenager, I was diagnosed with ADD (no H) but was not told. Instead of medication, my parents took me to a behaviorist who insisted I always "get ready" for tasks that required focus. Even if it was the weekend and I was at home, I should take a shower, get dressed, and "splash on some cologne" before I even attempted to do my homework. He was real big on natural light too. In my case alertness and depression never seem to coincide.
On another note, I remember reading his "musings" and getting the impression that he was mean and arrogant. I met him last year and he seemed like a nice guy. I was still careful to call my serial device HTTP resource server "RESTish" out of fear that I probably violated some principle somewhere.
A friend of mine recently posted (FB) the following story on the police blitzing a black foreigner for jaycycling: http://www.emol.com/noticias/nacional/detalle/detallenoticia...
I'm inclined to say the same about Argentina and Uruguay, where I've traveled a few times, but not lived. I've also been to Brazil, and can tell you people of darker skin are quite the norm, as in the caribbean like Venezuela, though I wouldn't recommend going there for other reasons.
On another note: there is a ton of opportunity in web companies with a background in applied mathematics with all the data mining and social graphing and business statistics. Don't sell your degree short in this field. Do a little research into the major electives available to you and how they may apply to your own work.
You at UCR?
I'm curious if anyone else thinks that charging for this may not be the best approach. Anyone?
(Wait, you're in the bible belt of SoCal? Is that South OC?)
You will eventually be able to determine that someone is doing well or poor in their classes. Why not use this to recommend tutors or tutoring jobs?
BTW, Your honesty and courage to face rejection inspires me. Thanks.
The revolutionary technology already exists: telemedicine (TM) through live video conferencing, store & forward of image data for dermatology, radiology, or ophthalmology, home health monitoring, wearable monitoring systems, online health management systems, personal health records, genome sequencing, its all here! So what's the problem? Doctors can't get paid for any of this.
Despite common belief, doctors don't get paid that much, particularly doctors that work in the public setting and must deal with Medicare (and in California, MediCal) patients. If a neurologist in San Francisco sees a Medicare patient in Los Angeles through video conferencing they can't bill Medicare because LA is not a non-Metropolitan Statistical Area. No doctor wants to deal with dismal MediCal rates. There are little to no codes to bill for home-based monitoring, and if even those exist, there is no code for a specialist to diagnose remotely. We have 30 years of academic literature praising TM. So who's holding everything up?
We need a new insurance company that focuses on TM and monitoring technologies from the start to usher in what everyone and their mom has been describing as "preventive" healthcare. Sure, we'll still need traditional methods for surgeries and catastrophic events, but I'd pay out of pocket to be able to forward an image of a rash to a dermatologist or the back of my throat to my physician any day. Fast, instant, convenient.
Someone in the comments mentioned Qliance, which looks promising. I'm surprised someone in SV hasn't taken advantage of something similar there. Geeks love to be on the cutting edge, why not be the cutting edge medical patient?