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PretzelJudge commented on Finding a therapist who takes your insurance can be nearly impossible   npr.org/sections/shots-he... · Posted by u/rntn
notepad0x90 · a year ago
a) we're rich in the US compared to even Norway b) it's better than what we have, private options will always be there, they just won't be the only options with government competition.
PretzelJudge · a year ago
No we are not. The US has a much higher GDP per capita than most of Europe, but not Norway.
PretzelJudge commented on Finding a therapist who takes your insurance can be nearly impossible   npr.org/sections/shots-he... · Posted by u/rntn
miki123211 · a year ago
Okay, here's one thing I really don't get.

There are plenty of native English speakers in third-world countries. Presumably, some of them could become qualified (from a practical point of view, not a legal point of view) therapists. Therapy can be offered via telemedicine, over the internet. At least some of these people are far enough from US jurisdiction that they could probably offer this service to anybody who wants it over the internet, and just not care what foreign governments have to say about it. This feels like an easy way for people there to make relatively large (by their standards) amounts of money. Why isn't this happening yet?

PretzelJudge · a year ago
Sure, if you just want someone to talk to. But most clinical psychologists are dealing with more severe cases. Would you want your suicidal teenager talking to a licensed therapist trained to deal with their case, or to someone overseas whose qualification is that they speak English?
PretzelJudge commented on Finding a therapist who takes your insurance can be nearly impossible   npr.org/sections/shots-he... · Posted by u/rntn
PretzelJudge · a year ago
A PhD in psychology takes 6 years to complete plus another year for licensing. A PsyD is a little bit less, but typically you pay high tuition during that time, whereas most PhD programs are free (with a small stipend). So, you make little to no money (or pay money) for a long period of time and then you are presented with a choice to take or not take insurance. If you choose the former, you:

- Get paid half as much

- Have to deal with filing claims, which ultimately becomes an additional expense, since chances are you have to pay someone to do this for you.

- Get your money later instead of now.

- Have to keep meticulous notes in case you ever get audited by the insurance companies, who can refuse to issue payments if your notes don't meet their standards.

- Have to lose patients when their coverage runs out

Meanwhile, there's overwhelming demand for therapists in many cities and plenty of people who will pay cash. I truly believe that many therapists are not in it for the money... but if they are going to make less money, let's at least figure out a way to handle the bureaucracy so that their jobs are more enjoyable.

PretzelJudge commented on Equity share with co-founder for an app I've already built    · Posted by u/mkrblue
PretzelJudge · a year ago
The amount of equity isn't as important as the vesting schedule. Don't vest anything to your cofounder right away. You should vest on a four year schedule with a one year cliff. There are good reasons this is the standard.

As far as the amount, make sure the other person thinks it's fair. If they don't find the split fair, then it'll just create issues later. Better to give away 49% of your company and have it succeed than to continue to own 90% and have it fail.

PretzelJudge commented on Ask HN: Why am I suddenly unemployable?    · Posted by u/rogual
PretzelJudge · 2 years ago
It isn't you. I have a solid resume (I know because I've interviewed hundreds of people in my career), but the market is just much slower. In 2020-2022 I was getting 5-10 recruiters reaching out every week. If I thought something was interesting, I'd respond saying that I'm not really looking for anything new, but I'm open to a conversation. People would still be thrilled to speak to me, even though I was upfront that I'd only leave for something perfect.

Lately, I get maybe one person reaching out every month. I responded to one last week, even though I'm not looking, just to see what the job market is like. I was ghosted.

I think we're just not in a hiring frenzy right now. People don't want to leave their jobs and risk it on something new. Some companies are laying off. For the companies that are hiring, they are probably seeing many more applicants and a higher conversion rate.

Things will come around.

PretzelJudge commented on How to not get rejected from YC's Early AI interview batch   hermitian.substack.com/p/... · Posted by u/johntiger1
quickthrower2 · 2 years ago
> or alternatively, a dev tools startup

I have notice a lot of dev tools startups on YC. Since a dev tool startup is sort of a "busman's holiday" [1] for geeks, it sounds like a really attractive proposition. Get funded to do something that is pure programming, for other programmers.

[1] https://en.wiktionary.org/wiki/busman%27s_holiday

PretzelJudge · 2 years ago
I'd bet that YC would love to fund fewer dev tools, but there's a bias towards who applies to YC in the first place. It's not that YC isn't well known outside of tech circles, but they are especially well known in tech circles, and that affects who applies.
PretzelJudge commented on How to not get rejected from YC's Early AI interview batch   hermitian.substack.com/p/... · Posted by u/johntiger1
PretzelJudge · 2 years ago
> While it may seem like YC invests in a diversity of companies across <healthcare, banking, travel>, it is an “Airbnb for X” type of diversity... if you are not building a product that is fundamentally like an Airbnb (or alternatively, a dev tools startup), then YC will not be interested in you.

I'm looking at the S23 batch and among them, I see a product for automating processes in healthcare, an AI voice assistant, a company tracking methane emissions with satellites, a company fixing GPS errors, building decarbonization, an AI for medical coding and others. None of these feel like AirBnB to me and certainly are not dev tools.

>As a result, most YC companies look the same. While I won’t name specific companies in any of the batches, YC companies will generally... have low capital and infrastructure costs, with low marginal variable costs

Yeah, that's the kind of company that wants $500k to get started. If you are building something capital intensive, then 500k probably doesn't move the needle for you. Either you are going to start small and build slowly (which makes for a bad VC investment) or you are going to need a lot more than 500k.

>For instance, if you are pitching a research lab without a specific plan to profitability (e.g. Mistral AI), then YC is not for you.

Yeah, Mistral AI raised $113M. If you can raise that as a seed round, then you don't really need YC. YC just isn't in the business of financing things that need 9 figures to get started.

PretzelJudge commented on Ask HN: The collapse of web programming jobs    · Posted by u/besnn00
PretzelJudge · 2 years ago
Neh... web programming is not going anywhere. Sure, the current environment is exposing all of the companies that never really had a business model other than raising more and more money. But there's still plenty of space for software to grow within existing profitable companies and new companies that can be more capital efficient.

He claims you can strip out some of the inefficiency which is related to interoperating software... that's not going anywhere. There will alwyas be walled gardens or code that breaks. Maybe that'll even increase. And even though what AI can already do is incredible, I think it'll take a long time before it can build and maintain large scale projects. In the meantime, it'll certainly make developers more efficient, but so have countless other tools.

That said, I think that remote workers are going to have a reckoning. If i'm hiring for people to be in the office, then i have a much smaller pool, replacing people is tougher, etc. But once I'm opening the doors to remote work, why not do so in a country with a much lower cost of living? I see people on HN constantly talking about how to succeed remotely, you need to be able to work in an async environment, etc. Well guess who loves the idea of an async environment? Upper managers who see ballooning payrolls and realize that an async/remote workplace doesn't need to consist of people in high cost countries.

u/PretzelJudge

KarmaCake day53July 30, 2023View Original