20,218 karma · joined April 23, 2011
I'm a programmer and founder with experience ranging from web development to embedded systems and network programming.
Working as a principal engineer for a unicorn supply chain startup.
https://github.com/sarchertech/
That is not the actions of a country who “believes in climate change”.
China’s CO2 per capita is ahead of every large developed country except for the US, Australia, and Russia.
https://www.worldometers.info/co2-emissions/co2-emissions-by...
https://www.instagram.com/theguardrailguy?igsh=ZXAxM2h2ZXFub...
From his bio, he lost his daughter to a guardrail crash and started exposing improperly installed guardrails.
> Since the collapse of the USSR in 1990 its not clear to me why US spending on military continues to grow. It's not fear of attack; there is no threat to the US itself. It has to be a desire to project power and influence.
The exact same thing is true for China. They can’t be afraid of attack. They have the 3rd largest nuclear arsenal and the 2nd or 3rd most powerful military in the world. Yet they keep growing their military.
> The dismantling of USAid (or more accurately the manner of the dismantling) has destroyed 75 years of goodwill. Coupled with punitive tarifs (which are paid for by US consumers) they make the US an unreliable trade partner.
We have an idiot in the White House. Even when I (very rarely) agree with him on things like tariffs are useful for preventing foreign state sponsored companies from wiping out important domestic industries, he implements them in the most inept way possible.
Yes. The latest OpenAI and Anthropic models are terrible at planning roadtrips.
This is something I try to use them for frequently. They constantly get things completely wrong.
I’d say that about half of the stops they suggest fail to follow whatever filters I’ve asked for.
But that has nothing to do with the topic at hand which is market dominance for some industry.
>Boeing DOD contracts
This is probably the closest comparison to what China is doing. But it’s still not the same thing because the US buys equipment from Boeing, they don’t just give them direct subsidies.
The equivalent would be if China awarded Bambu a contract to provide 3d printers to schools.
To the extent that the US pursues policies that help defense companies. They don’t do it in order to help those companies compete in foreign markets. They do it because they want those companies not to go out of business for national security reasons, or because they want those companies to provide domestic jobs.
The US does other shady things, but spending massive amounts to help domestic companies outcompete foreign companies in foreign markets isn’t one of them.
If all you want to do is drive the kids to school, you want the Honda, but that doesn’t make the 2 products equivalent.
But if all you’re doing is printing toys for the kids an A1 mini would have been less than half the price of the P1S. The enclosure is mostly a waste if you’re only printing PLA. You’re going to end up venting anyway. Core XY is a little faster than a bedslinger, but if you’re doing a lot of multi color prints, the material change time will dominate, so you won’t see much practical difference.
> both do a variety of materials.
The p1s does not regulate the chamber temperature, so the variety of materials you can get good results either is much more limited.
Neither one of those are equivalent to a P1S. They’re 2 tiers above it. Equivalent Bambu printers sell for about the same price.
I have printers from both companies. There are tradeoffs for each, but Prusa isn’t 4x more for an equivalent printer.
>Maybe healthcare shouldn’t be primarily for profit?
Which is a far larger topic than what the article was about.
> That being said, insurers do compete on price so they lose customers if they charge more than other insurers.
Yeah but that’s a second order effect. Most companies are incentivized to cut costs because they will directly realize the profit. Insurance companies are incentives to cut costs only to grow market share.
I understand the point of the profit limits, but I don’t think it works very well in practice. I think it would probably be better to just have private companies without that profit cap and add a government insurer to compete with them.
Increasingly health insurance companies and healthcare providers are intertwined. So they may spend 80% on healthcare, but then a big chunk of that could go to the urgent care clinics that they own.
And even if they don’t own the provider, they don’t have much incentive to lower total cost because 20% of a larger number means more total profit.
>fake constraints
People add fake constraints all the time. Artists using AI will have to learn to artificially constrain themselves to produce anything good. My guess is it takes about 50 years.
At the same time there will always be people who want to see real actors on a real set.
I guess way to argue with yourself? That’s not what I said.
> Not saying that you are a wuss
Then I provided evidence to demonstrate that it’s more likely than not that the doctor prescribed you antibiotics unnecessarily.
So neither of the straw man statements you created were accurate.
Bacterial sinus infections are absurdly over treated [1]. It can take weeks to recover from a viral infection.
Not saying that you are a wuss, but my guess is, the doctor probably over-indexed on the throat pain, assumed you were a bit of wuss for calling the doctor for a sore throat, and decided to give you something to make you feel better quickly.
Either way unless you were 65+ a short course of oral steroids is very safe (and even then it’s only very mildly dangerous).
1.https://www.aafp.org/afp/2020/0615/p758
“Without antibiotics, rhinosinusitis resolved in 46% of patients after one week and in 64% of patients after 14 days.
Antibiotics can shorten time to resolution but in only five to 11 more people per 100 compared with placebo or no treatment.
Despite this, approximately 86% of U.S. ambulatory visits for acute rhinosinusitis result in oral antibiotic prescriptions.1 In Europe, antibiotic prescription rates for acute rhinosinusitis in primary care range from 72% to 92%”
There’s nothing wild about that prescription.
That’s not true. They do completely different jobs. Some experienced nurses could do some things that we currently require doctors to do.
Other experienced nurses have problems doing basic dosage calculation.
The main difference that addition to med school being much more selective, rigorous, and longer, residency is regimented, standardized, supervised, and evaluated in a way that nursing experience isn’t.
There are entire teams of doctors who spend hours every month discussing each resident’s progress (I know because my wife runs the resident program for her department and I overhear the discussions in the background).
You might have one nurse who worked in the ER for 5 years who can diagnose appendicitis as well as a doctor, but another who worked there for 20 years who couldn’t even begin to do that.
And since diagnosing appendicitis is not part of their job description, both could have absolutely stellar performance reviews.
And the nurse who can diagnose appendicitis, might be terrible at other tasks normally handled by a doctor.
The solution for this is to put them through more standardized on the job training/evaluation, but you’ve just reinvented residency at that point. That’s the thing people don’t understand about residency, it’s as much evaluation as it is training.
No amount of on the job experience is equivalent because job experience isn’t rigorously regimented, and evaluated.
Physicians have to understand the diagnosis and treatment plan. At the end of the day, they are legally responsible for the patient.