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patja

Based on my personal experience with Kaiser and their home fecal test (FIT test) as a cheaper screening method, I suggest opting out of it and insisting on a colonoscopy.

The problem is that the fecal tests are totally inconclusive. Every positive test must be confirmed by a colonoscopy. And then you get into tricky waters with insurance. My Kaiser gastro doc insisted that my colonoscopy after a positive home FIT test would be billed as diagnostic and not covered at no charge as preventive screening. Which means I would pay over $2k. Despite the USPSTF publishing explicit guidance on this exact scenario still being screening. He was dead wrong, and I wasn't billed, but he and his department did everything they could to discourage me from following up with a colonoscopy.

And at one point he even turned the tables around on me and said this was all a consequence of my having opted for the FIT test instead of a colonoscopy. Which I never did, I was not given a choice. But from his statement I would assume that you can opt in to colonoscopy instead at Kaiser. Then again this could be yet another piece of misinformation on his part.

My doctor in the US did everything he could to tell me that my screening colonoscopy would be charged as diagnostic and I would have to pay over $2,000 for it, despite no history or indications of a problem. So it isn't all a bed of roses.
My family had a party line when I was growing up. The other parties who shared the line weren't very happy when 13-year-old me got his first 300 baud modem.
Re:Apple and a Hacker's Future on Monday October 05, 2026 @11:48AM (#49966445)
Author's misguided choice of platform for running a headless server.
My understanding is that in typical Seattle fashion, this is a new legal requirement with zero funding or staffing to implement and enforce it. If you feel you have been wronged, hire an attorney and sue.
Re:Authentication Is Largely Solved. Authorization Isn't on Wednesday September 09, 2026 @12:26PM (#49629098)
The article has quite a bit of "me, me, me, I, I, I" self-promotional content. Which makes sense given it is an advertisement for his book.

I find it jarring to hear that authentication is "largely solved" by passkeys and FIDO, technology that a very very small minority of applications support. Making claims like this combined with the focus on self-promotion is a quick path to being dismissed and ignored.

Re:Corporate America Is Getting Hooked on Open-Source A.I on Friday September 04, 2026 @02:30PM (#49568368)
"real coding" carries a lot of the weight in that comment.

Seems like if you ask 5 different people what "real coding" means you might get 5 different answers.

Not everyone is building the next framework or compiler.

Self-hosted Qwen 3.8 @Q4 on my RTX 3090 can produce beautiful functional CRUD pages and apps all day long. And that is 90% of the "real coding" being done in corporate settings.

The quote in the article about Mazda vs. Maserati captures this. Many might want the Maserati and drool over its specs and capabilities, but balk at the cost and how often are they really going to run it up to full performance limits on their daily commute to their cubicle?

Re:Engineers will do anything to avoid learning from history on Saturday August 15, 2026 @06:43PM (#49314985)
Seems like this could be categorized as yet another reason why software developers are not engineers.
It seems like one of the design goals was separation/independence. It also doesn't need a battery if it is meant to be tightly coupled with the Steam Machine. Which is nice for opening it up to many alternate uses.
Squeezelite-ESP32 is a solution that is sort of aligned with this scenario. No airplay and you would need an amp module to get to 50w.
Re:Steam Machine on Tuesday June 23, 2026 @11:01AM (#48646097)
I am guessing the BMI would track. Unless they make unlikely changes including spending more time away from that couch, these two are looking at health consequences that will probably make them a burden on society by the time they hit middle age.
Re:Launch HN: Adam (YC W25) – Open-Source AI CAD on Wednesday June 17, 2026 @07:27PM (#48578456)
It did a great job with this prompt. Got it done in about the time it would take me to login and load Fusion. I forgot to include the wire diameter but it made a reasonable assumption and included it in the params for edits

"Make a grommet seal for a hole in an aluminum pipe where a cable goes through. The hole is 0.48 inches in diameter. The wall of the pipe is .25 inches thick. Make the seal split so it can be installed with the cable in place. Make a circular cover lip that is .2 inches across on the outside, and an inner lip to secure it that is smaller. It will be printed in flexible tpu"

Re:Launch HN: Adam (YC W25) – Open-Source AI CAD on Wednesday June 17, 2026 @07:24PM (#48578426)
Gridfinity is a bit of a tool organization rabbit hole verging on a cult in 3d printing circles.
Re:The Future of Email on Friday June 12, 2026 @10:10AM (#48504340)
Apple is a problematic email service provider. They don't even send DMARC reports.
I'm still trying to figure out how I feel about statements like these which seem to assume the reader is incredibly uninformed and naive, to the point of condescension.

"sends the information to a central storing place (called a database)" TIL what the word database means?

"Amazon can use your purchases to know more about you using patterns." Is this news to someone? Condescending.

"It might be connected to a network (via Internet or radio frequency)" Radio frequency and Internet are not really directly comparable

Also don't like that the site hijacks the appearance of my mouse pointer, which feels similarly disrespectful of the reader.

The opposite can also be true. T-Mobile throttles Netflix and fast.com on my 5g mobile plan to be less than 5Mbps where Speedtest shows > 200Mbps.
Similar experience here. I worked on an ERP system for a chemical distributor that ran on 5 Honeywell Ultimate systems distributed across the US. General ledger, order management, warehouse order pick lists, chemical recipes, MSDS data, inventory, etc. We synced database updates every night, and once a month someone had to spend the night in the datacenter swapping 9 track tapes for backups.

I loved working in Pick BASIC on those systems. So much you could do with "dict items"

We already have COPPA. The result of which I have seen in my child's classroom when the teacher instructs the class "enter a different birth date to get around this restriction so we can use this website for our class activity"
Re:Google Broke Its Promise to Me. Now ICE Has My Data on Wednesday April 15, 2026 @05:45PM (#47785710)
I recently migrated off of my legacy "Google Apps for Your Domain" (now Workspace) account to a mix of self hosting and a regular old vanilla gmail account.

It was a real eye opener to experience how challenging it was to move my data from one Google account to another. Takeout is nice in theory, but there is no equivalent "Takein" service that accepts the data form import to another Google account in the format produced by Takeout! I naively assumed "Export Google calendar from here, import same files to there" but nope, that did not work at all. Maps data was even worse.

Re:We have a 99% email reputation. Gmail disagrees on Monday April 13, 2026 @11:26AM (#47753404)
I've been running my own MX for my business for a couple decades. I've never had trouble with Google. Apple on the other hand...as expected are not accommodating to anyone operating outside of the Apple garden. They don't even do DMARC reports, and just point you at their policy page with no indication of why they reject some mail to icloud addresses but not others. I will say I have received specific feedback from a human at Apple after submitting an email and waiting about a month for a response. But it was shocking in how braindead and years-out-of-date their reason was for blocking some (not all!) emails from our domain.

Actually the absolute worst are the rinky dink "free email" hosting that is bundled with some cheap web hosting services, where they use the UCEPROTECT block lists. UCEPROTECT is basically a protection racket where they expect you to pay to be removed from their blocklists, and they are often the one and only blocklist a domain or IP will appear on (which indicates it is likely a false positive money grab)

Fair enough for GPU-intensive stuff like running Qwen locally. But do you really need a GPU for decent local TTS? I run parakeet just on CPU.
I've been using Chirp which uses parakeet on Windows. Learned about it here:

https://news.ycombinator.com/item?id=45930659

Works great for me!

Re:Oracle Files H-1B Visa Petitions Amid Mass Layoffs on Friday April 03, 2026 @08:17PM (#47634107)
491 Oracle jobs cut in Washington State isn't nothing
Re:What Your Bluetooth Devices Reveal About You on Monday February 16, 2026 @07:31PM (#47042174)
Wow that is wild. Thanks for explaining.

I've never seen a prompt like that on my phone and would not have guessed this.

Re:What Your Bluetooth Devices Reveal About You on Monday February 16, 2026 @12:13PM (#47037548)
How did this play out? Were the ads from an app from the store that you had installed? Or did they spam you over SMS because they associated your bluetooth info with an account you have with the store, or contact info they bought from a third party?
Re:How often do full-body MRIs find cancer? on Sunday February 15, 2026 @09:28AM (#47023952)
A colonoscopy has the risk of going very wrong due to a puncture.
Apple is another major player in the email receiving game for consumers. And they are awful, by far the worst of all the big providers. They do not send dmarc reports and they make it very difficult to tell why they accept some email and not others.
Re:I made 20 GDPR deletion requests. 12 were ignored on Tuesday February 03, 2026 @05:19PM (#46878148)
There is more to that clause:

Alone or in combination, annually buys, receives for the business’s commercial purposes, sells, or shares for commercial purposes, alone or in combination, the personal information of 50,000 or more consumers, households, or devices.

So it only applies if you are buying or selling or sharing PII. Not if you just have 50,000 users/visitors to your website and keep it all private.

Re:I made 20 GDPR deletion requests. 12 were ignored on Tuesday February 03, 2026 @02:00PM (#46875557)
But the California law only applies if your business has more than $25m revenue or does a lot of selling of PII. See SEC. 9. Section 1798.140 in the page linked.
Re:Ads Are Killing Podcasting on Tuesday February 03, 2026 @01:53PM (#46875467)
The Race To Alaska podcast is only available on YouTube, Apple, and Spotify this year

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