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searching PlanetScale…
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40 ms
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301.
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by
entee
8y ago
Another (darker) perspective: they don’t want to lose money. Healthcare in the US is expensive in no small part because we pay more for things (duh). One of those things is physician time. Primary care physicians in the US make $60K more a
302.
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by
entee
8y ago
I agree, this is exactly where I’d have hired him. He’s be perfect as the soul and conscience of this company.
303.
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by
entee
8y ago
That’s actually my point, I would argue Gawande doesn’t have expert knowledge. Being an expert surgeon is a very different skill set than an expert in healthcare delivery and management. Let’s take the checklist manifesto, a fantastic idea
304.
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by
entee
8y ago
That certainly makes some sense, but in that case maybe someone who has run a big organization, or built a product would be helpful. I look around and see very few successful startups that were successful on the vision of the CEO alone. So
305.
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by
entee
8y ago
Atul Gawande is a brilliant person with interesting ideas on how to make healthcare more humane and robust. This is still probably a terrible choice of CEO. To my knowledge he has never run a large organization or dealt directly with the co
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by
entee
8y ago
I think the concerns could be harmonized with the OP by simply spitting out, "Here are 5 people to call" with perhaps a little info on their approach. This could of course link to a description of what those approaches mean, i.e.
307.
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by
entee
8y ago
Isn't that self-evidently false? On at least a superficial level it's a constant part of the conversation. It has in many ways precipitated the debate around self-driving cars by putting the technology in the open (for better and
308.
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by
entee
8y ago
Personally I don't disagree with the notion of taking huge risks and going all out. Tesla and SpaceX have made the world a better place in my view, and they've definitely made the world more interesting. That said, the overhyping,
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by
entee
8y ago
I'd love to know where it was, and what a house next door that wasn't dilapidated would have sold for.
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by
entee
8y ago
Given the population dynamics (one child/two parents) I think it's not going to be a "finding enough jobs for everyone" kind of problem. Eventually their population is going to start shrinking, at which point I really do
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by
entee
8y ago
While there's truth in the paradigm you advance, it's not anywhere near as binary or direct as you might me suggesting. There's a ton of leakage and noise at most stages in biological pathways. Biology actually spends enormou
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by
entee
8y ago
I think more simply ask how many people make a substantial, durable change in health status in the general population. My sense is quite few, it’s really hard to change your lifestyle or get more exercise. I doubt a small workplace incentiv
313.
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by
entee
8y ago
If you need to provide the data back to the customer, then maybe the right answer is to follow the same standards as financial institutions and health companies do. In practice, that comes down to ensuring that no individual has access to t
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by
entee
8y ago
They don't even work: https://www.bloomberg.com/news/articles/2018-01-26/workplace...
315.
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by
entee
8y ago
Differential privacy and other formalized systems are a good choice, but if you never need to give the data back or present it as-such to the customer/inputer, you can get heuristic Pretty Good Anonymization if you understand the struc
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by
entee
8y ago
sorry, [1] https://www.scientificamerican.com/article/cost-to-develop-n...
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by
entee
8y ago
That's exactly the point I'm trying to make (though a bit tongue in cheek). People usually don't like "chemicals" but don't understand what that means. Here I'm making a reference to the "petroleum&#x
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by
entee
8y ago
Not really, that's damn near impossible. There's almost no way to prove an exhaustive negative, and to get close is insanely expensive. As an admittedly imperfect analogy, take a look at how expensive it is to get a drug to market
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by
entee
8y ago
I'm not saying that at all. I'm saying we should be careful to consider the trade-offs. There's a lot of hysteria around "chemicals" in the world, and blanket bans are the result. Similar hysteria has killed maybe t
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by
entee
8y ago
https://www.nytimes.com/2004/04/11/magazine/what-the-world-n... https://www.thedailybeast.com/how-rachel-carson-cost-million... From the second article: However, studies in Europe, Canad
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by
entee
8y ago
It's true but incomplete. For example: DDT - May not have been anywhere near as bad as first thought, and replaced in part by these compounds, which themselves are being banned now. Also there's some argument that extensive use of
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by
entee
8y ago
Yes but what will those new solutions be? Will they be better? How will we know? Most likely scenario: they'll be replaced by some other chemical that on the surface may be better, but will be far less understood by virtue of being new
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by
entee
8y ago
Sure, in a limited sense yeah. I think the Parent's view is that younger designers may be a little more grounded due to not having been worshiped as a god for years. Or just may have different/fresh ideas that are more responsive
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by
entee
8y ago
Doesn't Apple have a ton of in-house engineers that use their hardware every day and therefore must have these problems as well? Shouldn't they fix them if only to keep their engineers from the pain?
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by
entee
8y ago
Counterargument: for a long time Ive had Jobs to push back on Design excesses. Now there's nobody that has the same kind of design sense at the top to push the product in practical directions. It's like Lennon and McCartney, they
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by
entee
8y ago
Doesn't Apple have a ton of in-house engineers that use their hardware every day and therefore must have these problems as well? Shouldn't they fix them if only to keep their engineers from the pain?
327.
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by
entee
9y ago
All of these kinds of arguments at least with regards to medicine neglect to understand how drug discovery actually works. It's not like engineering where you can a-priori design your spec, then reliably build the product to meet that
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by
entee
9y ago
I haven't had noticeable performance issues with it, but I've not tried it with truly large projects. Otherwise it actually works pretty well.
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entee
9y ago
There are a number of ways that property taxes could be handled so as to not force people out of their homes as property values fluctuate. Just one example, there could be a maximum on percentage of income that can be charged as property ta
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by
entee
9y ago
The tree would take what you burned and bring it back down because it's working in the dilute context already. Ethanol, or other biofuels, are nominally a closed cycle because you burn what you captured then capture it again. Now it&#x
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