sparklingmango

This sounds like a nice idea for a day or two, but I think how it presents in reality could be rough. The power grid might be down for a few days causing food spoilage, it could be taking down banks so people don't have access to their money, it could be screwing up IT at a hospital which interferes with treatment and care, we may not be able to fill up our gas tanks... I don't think it'll be "nefarious-gun-on-a-robot-dog" any time soon, but rather something that still causes major major issues.

Oh good call. Thank you!

It feels like propoganda.

> Tailwind's business model existed due to a massive inefficiency

Yeah, that's why most businesses form.

Excellent tip, thank you!

Could you share the specific mg/week taper you did for Sertraline?

Archive link: https://archive.ph/UCt6N

> To people asking why, this is a good lesson on the Collison’s ambitions.

Where can I read more on Collison's ambitions?

Cats make certain people's opinions about consent quite clear.

Can I make a feature request? I would love to be able to search by author. I recently started Caro's LBJ series (it's amazing so far) and I'm curious how many awards he's won. Anywho, I love non-fiction so I plan to visit this website often. Thank you and great work!

Beautiful. I'm going to use some of these to make a coloring book for my toddler.

Yes. We are right to be suspicious due to the main goal of start ups and corporations: profit for their shareholders. Theranos will always be in the back of my mind regarding healthcare technology start ups.

> The wrong strategy is to push every engineer to use infinite tokens. Companies doing this are celebrating 500% more pull requests. But customer outcomes don't match the volume of code being generated.

The goal is 100x output BUT NOT 500% more pull requests, folks.

Power dynamics. Usually the person making the giant PRs is the one with all the sway. An earlier-career engineer is unlikely to push back against that level of influence.

I loved it too. I audibly laughed at this one:

"Korean girl Short I didn't know how to start a conversation with her, so I just asked if she was Korean and she said yes. Then I made her guess what kind of Asian I am. Then I rambled about being Asian in Syracuse before leaving. I initiated one more conversation but now we don't interact"

So endearing!

> "Going to the gym, talking to strangers at the gym, ... these are both artifical replacements for human activity that is missing."

As opposed to what, our ancient hunter gatherer lifestyle? Going to the gym and talking to strangers at the gym isn't an "artificial replacement", it's a genuine activity lots of people do.

> "You try to form friendships with strangers because your daily routine lacks real and fulfilling interactions with other people."

How do you think people make friends? They make friends by interacting with people at shared spaces and activities.

In parallel, they're also starting to downgrade their quality. In the latest season of Stranger Things there's a wild amount of in-scene exposition, where the characters explain what's happening while it's happening. I did some digging and learned that they may be dumbing down their shows because they know users typically look at their phones while watching Netflix and users are more likely to drop off of a show if they don't know what's going on.

See here: https://www.theguardian.com/tv-and-radio/2025/jan/17/not-sec...

Edit: I did really enjoy Frankenstein.

Whenever I use Django, I enjoy it. Simple as.

> "If I delete a card, does it count against the 1000 cards?"

> "Yes, every card you create is counted, even cards that are deleted later. Each card ID increments by 1, so the next card you create will always show you how many cards you’ve created so far."

No, my parents and in-laws have routinely expressed how much they love to watch and spend time with my kid. But they're also retired and have lots of trips and hobbies going on. They're getting older and aren't as physically able as I am in regards to picking up and chasing after a highly mobile toddler. My husband and I aren't their only kids either. They also spend time helping out our siblings.

So it's really more of a me thing why I don't ask them to take care of him "full time". If I really needed them to, they would (and happily).

It's a lot to ask grandparents to take care of an infant full time during the work week. Here and there, on occasion, that is a completely reasonable thing to ask for. It helps strengthen family bonds. But I would never ask my parents or my in-laws to care for my toddler 8-5 M-F. They already raised kids.

Optimism. And unfortunately based on the doom and gloom that the news and social media constantly shoves in our faces, we have a short supply of that.

Wow. Thank you for sharing. May his memory be a blessing to you and yours.

Additionally, I recommend the book Empire of Pain for an excellent deep dive into the Sackler family and how they essentially created the opioid epidemic. You'll be infuriated as you read it.

I feel like this would be fun... if all of my friends used it too and it didn't feel like a "thing".

Like what?

Diagnosis is done via biopsy.

Additionally, DHH somewhat regularly blogs about political things. While I understand it's his "personal" blog, can you really have a personal blog separate from work when you're the CTO of the company and the creator of Rails?

Medical patients are not really "consumers" in the normal sense of the word. A patient may be unconscious when they arrive at a hospital and doctors will just start to treat them (as they should). A patient's doctor may refuse to change where they'll do the operation even if it'll save their patient a lot of money. A patient may decide they're going to have a procedure done at a surgery center, a facility that is typically much cheaper than a hospital, but they can't predict if they'll have a complication that will drastically change the cost of their procedure. Patients can't just walk up to a menu and decide that because they have chest tightness they want a stent put in. That's not how medicine works. The doctor typically sets the treatment plan and there's very little veering off that plan. The doctor really isn't even the one that sets the prices. Insurance companies are heavily involved in that and it varies by health insurance and plan.

The cheapest prices in US healthcare are the prices paid by Medicare. There are so many people on Medicare so this leads to a lot of bargaining power. Hospitals would never refuse to treat Medicare patients (because there are so many). So, Medicare decides "We're only going to pay $10,000 for a total knee replacement." And hospitals have to say "Okay, sounds good. Can't really say no to 60 million patients." Insurance companies do not have that type of bargaining power. They say "We only want to pay $20,000 for a total knee replacement." And the hospital goes "Nope, we're charging you $30,000." And the insurance company sheepishly goes, "Okay..." and then sets really high premiums, deductibles, and out of pocket maxes so they don't have to bear the weight of the cost.

Some standout stats for me:

- Hospitals recorded their most profitable year on record in 2019, notching an aggregate profit margin of 7.6%

- From 2012 to 2016, prices for medical care surged 16%, almost four times the rate of overall inflation

- Last year the average annual deductible for a single worker with job-based coverage topped $1,400, almost four times what it was in 2006... Family deductibles can top $10,000

Facilities charge exorbitant prices for procedures and insurance companies pass more and more of these costs on to patients via higher deductibles and premiums. It will continue to get worse unless there is colossal change.