97 karma · joined November 9, 2012
- From the experience of people I know who have needed urgent care (heart attack, cancer, anorexia, broken bones, etc), my Ontario provincial health system works pretty well, and was often excellent. The people I know received timely, high quality treatment (despite all the bad press in the news these days), at zero out of pocket cost.
- The areas that Canadian healthcare is most falling behind on are (a) access to primary care, and (b) treatment of serious things that probably won't kill you (e.g. joint replacements, cataract surgery). For (a) few people are going to travel to the US to see a family doctor. For (b) this is mostly seniors, who usually decide to grind through another 6 months on the hip replacement wait list rather than pay US$50k today.
- US healthcare is very expensive if you're paying list price. Waiting longer and getting free care in Canada often looks pretty good by comparison. Any reimbursement from your provincial health insurance will be a small fraction of the total US bill. Maybe you could save a month on getting treatment for your cancer or whatever, but is that month worth US$100k or whatever out of your family's life savings? Most people decide "no".
- Where will you live in the US while receiving treatment (e.g. for cancer)? Will your job allow you to be away? The cost of travel and lodgings adds to the cost of the already expensive healthcare. And if you feel crummy (e.g. because you have cancer and you're on chemo) you don't want to have to go through airports and live in hotel rooms, you want to be in your home.
- If despite all the above you decide to be a medical tourist, why would you choose the US? Once you're hopping on a plane and paying cash, there are often better countries in the world. I have heard of people going to Mexico, Lebanon, and India for treatment, and much lower cost than the US, while still getting high levels of care.
My impression is that people who don't like IDEs haven't put the effort into figuring out how to use them effectively -- modern IDEs have incredible power to increase productivity, but you have to learn how, and you have to make some accommodations in how you work.
I say this from experience: I started my career coding C/C++ in Emacs and I didn't get the fuss with IDEs. Then 10 years ago I started working in Java in Eclipse and I realized what I had been missing. But in order to realize the full benefit of the IDE I had to adjust to how the IDE wants to work, e.g. spend time configuring the automatic code formatter, and let go of some of my formatting quirks that the automatic formatter couldn't handle.
"Lattner: Swift and Kotlin evolved at about the same point in time with the same contemporary languages around them. And so the surface-level syntax does look very similar. … But if you go one level down below the syntax, the semantics are quite different. Kotlin is very reference semantics, it’s a thin layer on top of Java, and so it perpetuates through a lot of the Javaisms in its model.
"If we had done an analog to that for Objective-C it would be like, everything is an NSObject and it’s objc_msgSend everywhere, just with parentheses instead of square brackets. And a lot of people would have been happy with that for sure, but that wouldn’t have gotten us the functional features, that wouldn’t have gotten us value semantics, that wouldn’t have gotten us a lot of the safety things that are happening [in Swift].
"I think that Kotlin is a great language. I really mean that. Kotlin is a great language, and they’re doing great things. They’re just under a different set of constraints."
https://oleb.net/blog/2017/06/chris-lattner-wwdc-swift-panel...
While the US is already committed to the F-35, discussion of the plane's shortcomings is important for NATO and other allies who haven't yet signed up to buy the plane (e.g. Canada). Maybe the plane will mature into an effective platform, or maybe it will never be anything more than an expensive turkey. Right now it seems like the right thing to do is hold off making a purchase.
http://www.mooneyland.com/wp-content/uploads/2012/06/Mooney_...
I work on medical software now. It's kind of a well known story now how doctors are resistant to using checklists, like pilots do, even though it has been proven in studies to reduce medical errors.
It's an interesting idea that maybe we could employ a form of point-and-call checklist system in software development or operations.