Readit News logoReadit News
jjackson5324 commented on The darker side of being a doctor (2017)   drericlevi.substack.com/p... · Posted by u/m-ahmed
thaumasiotes · a year ago
Obviously, they are a big problem, but they're not the only problem. It is received wisdom among doctors that increasing the number of doctors causes medical costs to go up, and it is generally also the position of the state.

The doctors are simply wrong; the state is correct from a pernicious point of view.

Because the state is responsible for buying so much of the total supply of medical care, they generally view things from the perspective of "how much are we spending on the category 'medical care'?", rather than the perspective of how much any given treatment costs.

Increasing the number of doctors lowers the cost of all treatments and is unambiguously good.

However, it does raise the total amount of medical spending, which, in the eyes of the state, is bad.

jjackson5324 · a year ago
So you’re saying that increasing the number of doctors will result in more medical services being consumed which means higher costs for the gov?

That’s the view of the government?

jjackson5324 commented on The darker side of being a doctor (2017)   drericlevi.substack.com/p... · Posted by u/m-ahmed
viraptor · a year ago
I'm not sure that's a good enough explanation. There's minimal if any impact from a given doctor on country wide policies, especially the ones funded by state. Junior doctors in the UK couldn't push basic improvements to both their working conditions and pay. That doesn't seem to match the idea that they can meaningfully influence the doctors intake numbers.
jjackson5324 · a year ago
I don’t know about other countries but that’s absolutely the case for the US.

The culprit is the AMA.

> In the 20th century, the AMA has frequently lobbied to restrict the supply of physicians, contributing to a doctor shortage in the United States.[10][11][12] The organization has also lobbied against allowing physician assistants and other health care providers to perform basic forms of health care. The organization has historically lobbied against various of government-run health insurance.

https://en.wikipedia.org/wiki/American_Medical_Association

jjackson5324 commented on Google threatens to cut off news after California proposes paying media outlets   theverge.com/2024/4/12/24... · Posted by u/rntn
unclebucknasty · a year ago
>Let's stop trying to pick a side here... Maybe it's more of a symbiotic relationship.

There's definitely some symbiosis here, but it's ultimately Google that's dependent on the news (and other) sites' content, which it gets for free. That is, the news sites (and other content providers) could exist without Google. But, Google could not exist without their content.

At least that's my observation. So, I wasn't picking a side as much as earnestly asking how OP concluded that its the news sites wanting something free from Google versus the other way around.

jjackson5324 · a year ago
> At least that's my observation

30 seconds of serious thought would tell you that your observation is wrong.

Again, a news organization can just change their robots.txt to block google from indexing their site.

They don't do that because that would instantly kill all their search traffic... and most likely kill their business.

If CNN changed their robots.txt to stop being indexed by Google, Google would literally lose 0 users.

> I wasn't picking a side as much as earnestly asking how OP concluded that its the news sites wanting something free from Google versus the other way around.

It's been explained to you several times. Instead you're more interested in acting self-righteous (it's honestly pretty cringeworthy).

jjackson5324 commented on Google threatens to cut off news after California proposes paying media outlets   theverge.com/2024/4/12/24... · Posted by u/rntn
pompino · a year ago
>who apply every possible bloated inefficient awful ad/tracking/targeting/react/javascript spawn of satan into their site as possible, all written by the worst programmers in the world

They do this because Google wants them to, so that their ranking goes up.

jjackson5324 · a year ago
What are you even talking about? That's not how SEO works in the slightest....?

Lol am I still reading HN or is this Reddit?

You can see the Core Web Vitals. What modern day news organizations are doing is nowhere close to that.

jjackson5324 commented on Tooling has improved for ambitious software developers   therealadam.com/2023/11/0... · Posted by u/jdorfman
nottorp · a year ago
> Modern day applications are doing far, far more than they were 10-15 years ago. Much more traffic, much more data, much more tracking (unfortunately), etc.

Yes but are you sure the 'more' is in the user's interest?

I'd say 90% isn't. Out of which maybe half is less development cost because you can throw layers upon layers of bloat upon the user, and half is spyware.

jjackson5324 · a year ago
No but the company isn't trying to develop software that's best for the user. They're trying to develop software that's best for their bottom line.
jjackson5324 commented on Reddit's IPO Is a Content Moderation Success Story   nytimes.com/2024/03/21/te... · Posted by u/rbanffy
MountainMan1312 · a year ago
What a horrible take. Half the good communities left, some were forcibly taken over and loyalist mods installed, and it's still a cesspool. I would not call it a success story.
jjackson5324 · a year ago
Yeah, this guy clearly doesn't use Reddit
jjackson5324 commented on Tooling has improved for ambitious software developers   therealadam.com/2023/11/0... · Posted by u/jdorfman
armchairhacker · a year ago
This is a behind-the-scenes sort of improvement which has been happening since the late 2010s while real applications have seemingly gotten worse.

What’s actually happening is that there are a lot of bloated, buggy, badly-designed programs today because they simply wouldn’t have existed prior to the improvements in developer tooling. In some cases because the software has a much broader scope made possible by the tooling (distributed “webscale” sites with massive data throughput and configurability). Alternatively (or additionally), sometimes the developer(s) are mistakenly using a tool (e.g. Kubernetes) that is way too webscale/generalized for their purpose and/or itself wouldn’t have existed prior to improvements in development tooling.

Good software still exists today. It’s just gold lying around in a forest of junk, whereas it used to be more like less-shiny gold lying around in a barren plain.

jjackson5324 · a year ago
> while real applications have seemingly gotten worse

Can you elaborate on this? I'm not sure I agree.

Modern day applications are doing far, far more than they were 10-15 years ago. Much more traffic, much more data, much more tracking (unfortunately), etc.

jjackson5324 commented on How to Start Google   paulgraham.com/google.htm... · Posted by u/harscoat
eloisant · a year ago
My point is that the probability of getting that rich is really low. You need to combine hard work with incredible luck. A very few percentage will get 100x richer than a FAANG engineer.

A typical founder, 10 years in, is less rich than he could have been if he had taken a high paid tech job.

But anyway, PG is saying the same thing he's been saying for years. He wants people to launch startups, and he wants them to shoot for the moon with VC money. He has no interest in bootstrapped companies. Because he's a VC, so he's talking in his own interest first and foremost.

jjackson5324 · a year ago
I agree with you, but PG’s definition of rich in the article is people worth $10 billion dollars plus.

I don’t think he’s being malicious. I think he genuinely just doesnt see a $5-10m NW as rich.

jjackson5324 commented on How to Start Google   paulgraham.com/google.htm... · Posted by u/harscoat
eloisant · a year ago
Also "the standard way to get rich"... It's much easier to get rich by getting hired at a FAANG than starting your own company.

You only get rich by starting your own company if you win the startup lottery. Otherwise you're better off getting a high paid job.

jjackson5324 · a year ago
That depends entirely on your definition of rich.

PG's definition of rich is probably 100x what yours is.

jjackson5324 commented on Musk Says His Ketamine Prescription Is in Investors' Best Interests   bloomberg.com/news/articl... · Posted by u/NN88
nullindividual · a year ago
Everyone should dislike Elon Musk. He's a horrible person and needlessly rich. The man has sociopathic tendencies. We just have to listen to his ethos to determine that.

With that said, yes Ketamine is effective for depression. But it is not designed for "depression-like symptoms". It is designed for acute depressive mood disorders and suicide ideation which cannot be treated by other means, similar to electroshock therapy or TMS. Ketamine is not a "first line" treatment for depression.

Simply based on his own words from this article, this sounds like abuse of Ketamine.

My question would be if he's getting IV treatments or using compound medication. They are wildly different in their usage, effects, and monitoring.

jjackson5324 · a year ago
> Everyone should dislike Elon Musk. He's a horrible person and needlessly rich. The man has sociopathic tendencies. We just have to listen to his ethos to determine that.

Thanks for telling me what to think.

> But it is not designed for "depression-like symptoms". It is designed for acute depressive mood disorders and suicide ideation which cannot be treated by other means, similar to electroshock therapy or TMS.

That's literally not true. Spend a few mins reading a survey paper on it perhaps? https://pubmed.ncbi.nlm.nih.gov/28249076/

u/jjackson5324

KarmaCake day68June 18, 2020View Original