psaintla (u/psaintla)

psaintla commented on Google Bets on Health bloomberg.com/news/articl... · Posted by u/adventured

epmatsw · 10 years ago

Eh, Epic and Cerner interface fine, and offer HL7 interfaces, and Epic in particular bends over backwards to do what their customers want for implementations. My impression was that hospitals are (understandably) reluctant to allow their direct competitors direct access to information they've collected.

psaintla · 10 years ago

I wouldn't go that far with Epic. They always have some unadvertised module they try to push on hospitals the minute they want to interface with a third party.

psaintla commented on Google Bets on Health bloomberg.com/news/articl... · Posted by u/adventured

dikaiosune · 10 years ago

What about HL7? When I last worked with an EHR system (2? years ago), implementing HL7-based interop with other providers was all the rage so that they could eliminate fax machines when transferring patient records.

psaintla · 10 years ago

HL7 is a massive farce. It is an impossibly large standard that's difficult to understand and rarely used for interoperability.

psaintla commented on Google Bets on Health bloomberg.com/news/articl... · Posted by u/adventured

seehafer · 10 years ago

> Between insurance companies, doctors, hospitals, patients, governments, and every middleman inbetween

You can eliminate middlemen if you can show cost reductions for a player larger than the middleman. The big players are providers, payors and technology (pharma/device) companies. Plenty of middlemen in between those that can be made irrelevant.

psaintla · 10 years ago

You would think that's the case but from experience it's not. I can name two hospitals in NYC that were supposed to see savings from EHR implementations but ended up having multiple competing EHRs that don't speak to each other because of conflicts of interest. You forget there in many cases there are many payors, tech vendors and providers within a single institution.

psaintla commented on Why are Brits so obsessed with buying their own homes? theguardian.com/money/201... · Posted by u/fat-chunk

branchless · 10 years ago

And when private banks provide near-unlimited debt the total cost of the average mortgage will consume all income after paying for food/heating/fuel.

And if we get more productive disposable income will go up and that will feed into land prices.

All the rentier need do is wait.

edit: would love to hear the counter to this from whomever downvoted me - it's a fact that with our system productivity improvements flow into land prices therefore speculating on land sees you capture these gains.

psaintla · 10 years ago

I didn't down vote you but here is the flaw. Rent typically trends upward with property values which eats away at a tenants ability to save. This is particularly true in markets like NYC, SF, LDN and HK where people are paying over 50% of their paycheck to rent.

psaintla commented on Why are Brits so obsessed with buying their own homes? theguardian.com/money/201... · Posted by u/fat-chunk

outside1234 · 10 years ago

Your response to that should be: "you are not a responsible adult until you are debt free."

That is actually one of the secrets to a lower stress longer lasting life IMO.

psaintla · 10 years ago

You're not a responsible adult until you recognize debt is a tool. You can use the tool well or poorly but it is just a tool.

psaintla commented on Chinese Markets Halted, Equities Plunge Another 7% globaleconomicanalysis.bl... · Posted by u/jayess

irln · 10 years ago

With the tech bubble/bust you could look at underlying companies for the canary in the coal mine. With the housing bubble/bust as you mention you could look at each mortgage and the ability of the borrower to pay. When you have a bubble arguably in government debt, what is the mechanism of transparency to look for?

psaintla · 10 years ago

With the housing bubble there wasn't a good way to look at each mortgage or the borrowers ability to pay. In a lot of cases the mortgage data was falsified or didn't even exist. In the aftermath of the bust several banks could not produce any documentation on homes they wanted to foreclose on.

psaintla commented on Chinese Markets Halted, Equities Plunge Another 7% globaleconomicanalysis.bl... · Posted by u/jayess

hueving · 10 years ago

That was lack of transparency inside privately generated mortgage backed securities. The US crash wasn't caused by blatant lies about economic indicator (GDP numbers, etc). The transparency of the housing sales is actually what allowed people to see the contractions and prevent the issue from getting even worse.

psaintla · 10 years ago

Transparency of housing sales isn't what allowed people to see the contractions and it certainly didn't keep the problem from getting worse. Massive numbers of defaults were the indicator. What kept the problem from getting worse was the government taking partial ownership of the major banks/AIG, increasing the FDIC limit and TARP.

psaintla commented on Chinese Markets Halted, Equities Plunge Another 7% globaleconomicanalysis.bl... · Posted by u/jayess

berberous · 10 years ago

Nevsky Capital, a successful hedge fund, just shut down and released an interesting letter to its investors that's worth reading in full. I'm not sure about the transparency of India's stock market, but it did not have nice things to say about the quality of their economic data:

"Data releases have become much less transparent and truthful at both a macro and a micro level. At a macro level the key issue is the ever increasing importance of China and India. China is the world’s second largest economy, but already much larger than the US in a broad swathe of sectors. India will be the world’s third largest economy within a decade. Unfortunately their rise is increasing the global cost of capital because an ever growing share of the most important data they produce is simply not credible. Currently stated Chinese real GDP growth is 7.1% and India’s is 7.4%. Both are substantially over stated. This obfuscation and distortion of data, whether deliberate or inadvertent, makes it increasingly difficult to forecast macro and hence micro as well, for an ever growing share of our investment universe."

http://www.businessinsider.com/nevsky-capital-closing-letter...

psaintla · 10 years ago

That's a pretty hilarious statement considering the lack of transparency is what led to our own market crash.

psaintla commented on Google Begins Rolling Out Google Play Music Family Plan techcrunch.com/2015/12/09... · Posted by u/espeed

icebraining · 10 years ago

I don't think it's arbitrary; Google Apps is an enterprisey product, where stability is prioritized over new features. Regular people who want to use their own domains are an exception, and certainly not the market they are going after.

I say this as someone who has used Apps in the past, but I've given up on it since.

psaintla · 10 years ago

I have a difficult time believing that stability is the main reason for the lack of integration. Admins have the ability enable/disable certain features. Throw a beta flag in front of the feature and say it's not supported.