arkades

22 ms·

181.
by arkades 6y ago
Criticism: Academia fails to model the real world, in contrast to industry ("is way behind industry"). Response: An entire industry of competing and well-funded actors that specialize in modeling and predicting expensive failure s
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by arkades 6y ago
This is the correct answer. My patient base includes a fairly large homeless cohort. They maintain email addresses; some of them maintain phones. But a physical mailing address is basically unattainable.
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by arkades 6y ago
> games are a grind everyone thats ever played an mmo knows You seriously need to expand your pool of games.
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by arkades 6y ago
> If Amazon had great customer service, there wouldn't be a large volume of people complaining. Volume of complainers is an absolute number. Customer service can only reduce the proportion of complainers. If you have 50 complainers
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by arkades 6y ago
Oh, I didn't judge you on your professional history. I judged you on the content of your comment - that is to say, on the merit of your statement rather than an appeal to authority. That you've done consulting to the healthcare se
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by arkades 6y ago
The primary issues - root cause - of our systemic faults lie in approximately three places: 1. We are fractured. There is no "healthcare system." That's a singular noun. We have a marketplace: that means things like three top
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by arkades 6y ago
Cost of ER, as has been said on a million posts like this throughout HN's history, are due to the fact that you're taking up one of the highest-overhead spaces in the hospital, a lot of which is malpractice-insurance-related. The
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by arkades 6y ago
Yes to both of the latter, but no authority to do so. Academics ain't legislators.
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by arkades 6y ago
Delivery times are up because of the volume of business. As essentials business falls down (or 'if', if people get used to using Amazon over their local store), delivery times will fall as well. This isn't a meaningful long-t
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by arkades 6y ago
Everyone with absolutely no knowledge of our healthcare system "look(s) at the medical profession as the racket it is." They then proceed to point at things as the root cause that every health policy expert in the country can tell
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by arkades 6y ago
As someone who second-careered into medicine: It's a ten-year commitment, roughly, to become a practicing ER doc. And in today's industry, you'll spend the overwhelming majority of your time doing documentation on shit that s
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by arkades 6y ago
TLDR: Some alleviation of symptom severity in patients not receiving antivirals, overall no real outcome benefit, way more adverse effects. Not a slam-dunk in either direction.
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Hydroxychloroquine in Covid-19: an open-label, randomized, controlled trial(medrxiv.org)
3 points by arkades 6y ago|1 comments
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by arkades 7y ago
Is giving his sentence the least possible charitable reading to make a quip a good use of your time, or anyone else's?
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by arkades 7y ago
> But then it struck Gibson that he could save his manuscript by creating a future world in the year 2136 — a world in which 80 percent of the population has been wiped out by climate change, but also a world where characters time-travel
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by arkades 7y ago
If people aren't working and creating a functioning economy, all of those things you described go away. They're tax-dependant. They aren't just whistled up from the wild blue yonder.
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by arkades 7y ago
Probably not? I mean, as a personal consumer, yes - I'd pay a premium on my own products to buy American. I do, in fact, do that when it's an option. As an organizational representative, though, that's iffier. Healthcare reim
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by arkades 7y ago
No, it won't. Speaking as someone who is currently spending his days sourcing medical equipment for his medical center: the cheapest US-based face shield costs nearly 3x what the average face shield in China does (the most expensive US
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by arkades 7y ago
Tried freshdirect? It takes a bit to find an open slot for their Recurring Orders, but since we've gotten one they haven't let us down. It's the one-off order slots that don't exist.
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by arkades 7y ago
Try mcmaster-carr. They beat the stuffing out of home depot, lowe's and amazon all when it comes to hardware.
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by arkades 7y ago
I think you misread the passage that you quote as supporting idealism. The full passage is: "The answer, I realized, is that they didn't think they could get caught. They didn't realize there was any danger in making false pr
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by arkades 7y ago
Your ENT saw a tiny fraction of that. He billed 4K. The contracted rate he got from an insurer is significantly below that. A huge chunk of that disappeared to malpractice insurance before he got to paying the rest of his overhead. He saw,
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by arkades 7y ago
Not to undermine your dramatic point[1], but: Most hospitals run at profit margins well below 10%. Median operating margins are in the vicinity of 2% ( https://www.modernhealthcare.com/providers/operating-margins... ) An
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by arkades 7y ago
> It seems that the actual problem might just be hospitals being stingy. Hospitals have to stay afloat just like everyone else. If they go bankrupt, they close, just like everyone else. If the government agrees it's a national secur
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by arkades 7y ago
Location: New York Remote: Yes Willing to relocate: Not at this time Technologies: N/A Email: ea4353db-c0c9-40d7-bd55-82f84de11144@anonaddy.me Résumé/CV: I'm a physician with a grad degree in health policy, with s
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by arkades 7y ago
Calling it "hundreds of thousands of dollars of capital" somehow makes it sound like massive wealth, as opposed to the single accumulated asset of a lifetime of lower middle-class labor.
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by arkades 7y ago
Storefronts in NYC routinely stay empty for years waiting for a large corporate client to come along, because the long-term stability and rent beat the pants off of any smaller tenant. Losing the stability and rent, I think they're oka
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by arkades 7y ago
Not all rent is giant corporations. My mother is a retiree who basically pays her living expenses every month by renting out the first floor of her two-floor home. "All rent should be suspended" would drive her into bankruptcy, an
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by arkades 7y ago
The ocean floor has "almost no oxygen," not "no oxygen." There remain oxygen-burning creatures adapted to living beneath in hypoxic conditions.
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by arkades 7y ago
Yes, this is what a tragedy of the commons is.

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