matt_heimer
matt_heimer on Hacker News
It varies. At the largest medical provider in my region they stipulate "To self-refer for a Heart Scan, you must be male between the ages of 40-65 or female between the ages of 45-70 and have a qualifying risk factor."
Yep, keep everyone part-time so they don't get benefits.
People can be uneducated about medication, acetaminophen overdose is a leading cause of acute liver failure in the United States. A little bit of a barrier and forced information about the concern might not be a bad thing but it doesn't require a doctor. A lot of medication probably falls in the same category but is on the other side of the prescription fence.
And doctors aren't infallible, AI (and rule based systems) can act as an extra safeguard for them as long as they don't blindly trust it.
If the question is in response to the article's implication that 23andMe doesn't offer this anymore, that's not the case. They were bought by their original founder and continue to offer tests including a Neanderthal Ancestry Report.
I don't think we read the same HN. The home page is 25% devoted to AI most of the time and not in a negative way.
One of the nice things about MCP is that the tools have descriptions that provide guidance to the LLM. You can provide documentation in other formats like OpenAPI but its nice that the documentation is so closely coupled with MCP servers.
"Make America Great Again" leans a lot into restorative nostalgia so it's unsurprising that ideas from the past are going to be presented as an idealized goal.
That's what I was doing with my Pro 200 plan, except sometimes life gets in the way and I had couple weeks where I couldn't.
OpenAI must have statistics on what percentage of people with Pro accounts don't maximize the usage in a given. Even if it a very small percentage that is still income for providing nothing.
When you think about it, it's kind of ridiculous that the usage credit is use-it-or-lose it. It really should roll over.
We have to assume that OpenAI knows how to math. Given that the plans all scale usage equally now the benefit of the 500 plan is only for OpenAI. Enough of a percentage of users don't squeeze everything of plans every single month that this profits them more.
They still used multipliers in the email. The relevant passage was:
Starting October 30, 2026, your included usage in ChatGPT Work and Codex will decrease from 20 times to 10 times the ChatGPT Plus allowance. Your GPT-6 Pro limit in Chat will decrease from 200 to 100 messages per week. Your price remains unchanged and you’ll keep your current limits through October 29, 2026.
And:
For those who want even more usage and speed, the new Pro 500 tier offers our highest usage allowance, with 25 times the usage of Plus. It also includes access to Ultrafast, with up to 8 times faster token generation.
I stayed with the 200 plan because of how good a deal it was and because it didn't scale equally.
Now it makes more sense to get 100 plans from both Claude and ChatGPT plan to get diverse models.
It's like OpenAI wants me to give them less money or they are constrained on compute and need to shed load.
The OS one is funny to me, it's been hard to keep osdev.org online due to the insane amount AI bot traffic.
Sun was just never really setup to sell lots of small servers. You have different pipeline when your goal is to sell million dollar E10K servers.
I got to see a server installed via crane because they couldn't go up in that building's elevator.
I wonder if the entire internet is going to slowly move behind logins and allow lists for specific trusted crawlers at some point.
Open access doesn't seem sustainable.
But I might just grumpy about spending another hour this week adjusting rules to prevent bots.
It's subjective but I think only gpt-5.6-sol XHIGH is comparable to gpt-6-astra LOW in quality. And it's 24.11 cents vs 9.55 for astra low.
It was a very reasonable decision when it was made around 2008.
Do you really expect a US based company to go to legal war with the US government over something like this? Because there would 100% be repercussions it they did.
This isn't really on Google. Countries disagree on how things should be named. Google sources the US centric view from the Geographic Names Information System (GNIS).
Blame the person causing the GNIS updates.
It's wildly inconsistent. Surgeries, hospitalizations and specialists are mostly ridiculous. You can find affordable general/nurse practitioners if you know where to look and what to ask for.
Call around and ask "What is your self cash pay cost?".
Most people don't know to ask that and if you don't speak the magic phrase then you get billed at the rate the office would normally charge insurance. Not all places have self pay discounts.
Some states have special programs for hospitals but they vary wildly by state and you have to know how to navigate that particular program and be very patient. Some are need based so if you are above a pretty low income threshold you won't qualify.
Ozempic == GLP-1 which the first visible paragraph is discussing.
Not exactly the same but I'm building a NAS box with old parts. Most of my spare RAM sticks are laptop DDR4 SODIMMs. There are SODIMM -> desktop DIMM adapters... it did not go well. The system would boot 1 out of 5 times. No adjustment of memory speed settings would make the system stable.
I'd have a better portfolio right now if I invested in RAM instead of equities.
That's the traffic after rate limiting controls and bot fight mode. It's 3-4 million requests per day without bot fight mode and just rate limits. And as I said it's not a smooth distribution. Plus the requests are almost never for pages in cache. It's always stuff like loading all the message threads from the year 2000 or loading up the details of every page edit ever made to a wiki page.
If it was more static content it'd be easier, it's really the db being a bottle neck in a dynamic site.
Yes, the software could be better optimized but then I'd have to own the development of it. There is no reason a niche website should be getting millions of requests per day.
It might depend on the tech stack. I run a small niche website but it has PHP and a database (MediaWiki/PHPBB) and without Cloudflare I'd estimate I'd need to spend several hundred dollars a month to handle the traffic. Traffic used to be tens of thousands of requests a day. AI has increased that to between 400k and 3M requests per day but it's not a smooth distribution. This is with bot fight mode on that greatly reduces traffic.
I adopted Cloudflare because it was getting DDoSed by the AI crawlers. I'm pretty sure all of them are vibe coding their crawlers and don't bother adding rate limiting as a requirement.
Sure, depends on how accessibly to people you want it to be.
Most legit search engines are going to honor robots.txt and you can disallow access.
Next level would be using something like rate limiting controls and/or Cloudflare's bot fight mode to start blocking the bad bots. You start to annoy some people here.
Next would be putting the content behind some form of auth.
What is the positioning for this and how does it work? A comparison to SBE might be nice.
I understand the issue about using Layout and MemorySegment being verbose but the reason I'm using those things it to develop high performance software that uses off-help memory and bypasses object allocation.
What does "map Java record types onto native memory" actually mean? Did you somehow turn a Java record into a flyweight or is `Point point = points.get(0);` just instantiating a record instance using data read from off-help memory? If it's a dynamic mapping library using reflection, that's cool but doesn't it kill the performance goals for most Java off heap usage?
Is this more of a off-heap to heap bridge for pulling data into the normal Java space when performance isn't critical?
It's perfect for toddlers (I mean that in a good way), it's the infinite answer to the infinite "What's that?" series of questions they can generate. Make everything a hyperlink and it's almost like a LLM mind map of knowledge.