Y
HN Search
Hacker News Search
new
|
comments
|
top
|
jobs
tonymet
searching PlanetScale…
1.
▲
2.
▲
3.
▲
4.
▲
5.
▲
6.
▲
31 ms
·
931.
▲
by
tonymet
1y ago
the AMD and intel mini PCs are a fabulous value and the best solution for hobbyist / homelab
932.
▲
by
tonymet
1y ago
Hello fellow boomers! I noticed that winget is also down eg. winget upgrade fabric Failed in attempting to update the source: winget An unexpected error occurred while executing the command: InternetOpenUrl() failed. 0x80072ee7
933.
▲
by
tonymet
1y ago
I’ll borrow that. Here’s a serious “shitfuckery” convo we had. I asked my wife to guess the cost of one drug for 12 weeks. I guessed $150k , she balked and said I was crazy, and guessed $30k. Actual price : $300k
934.
▲
by
tonymet
1y ago
It’s funny that USA is supposed to be an advanced economy but all of those billing issues happen here. Nearly every procedure is preceded with a pointless “consultation” that is ~$1500 for 15 minutes convo with a doctor. It’s worse than a
935.
▲
by
tonymet
1y ago
That’s true. The ideal case of elective MRI or planned surgery (like a hip surgery) are the exception. In most cases you have to make a decision on the spot. In our case we were basically told to move forward within 3 weeks or mortality
936.
▲
by
tonymet
1y ago
my exact curiosity. They seem to have a rough scope on CPT codes ahead of time, with some buffer. It's baffling that the cost per CPT changes between estimate and billing. Id like to talk to a billing administrator to ask how that p
937.
▲
by
tonymet
1y ago
And let me know what you end up doing with it. I’ve been thinking about making an “unconventional git patterns” site because I love it so much and it’s so under-utilized.
938.
▲
by
tonymet
1y ago
That’s right and git helps with that too, like any repo. It will warn you when the target is dirty , or you haven’t pulled the latest changes. So you don’t need to do the mental bookkeeping.
939.
▲
by
tonymet
1y ago
So there’s nuance to this. We live near Portland —- great provider & insurance networks. The common perception of “providers” and “network coverage” are the frontline doctors you visit. But in this case, and what is common, is that the
940.
▲
by
tonymet
1y ago
I’ll look into it. From what I can tell it’s not a simple hero vs villain story. It feels more like an industrial disaster or the AWS outage where there are like a dozen compounding system failures leading to where we are today. Medical b
941.
▲
by
tonymet
1y ago
you’re right it’s a great idea for a hip replacement and many other procedures. Our condition doesn’t fit into that model well because of the duration and frequency of treatments. I’m guessing there has to be a queue on that. Even those co
942.
▲
by
tonymet
1y ago
I recommend making a good faith effort to negotiate and start a payment plan (reading the fine print on the overall commitment). But bankruptcy is a viable option if you don’t have a ton of assets at risk.
943.
▲
by
tonymet
1y ago
You’re right and there are some provider segments like MRIs that have succeeded with this model. From our perspective the real blocker is the “lock in” due to timing and the referral process. We’re paying bills to providers like specialize
944.
▲
by
tonymet
1y ago
I share the exasperation about the lack of empathy. I know these providers are humans and would ask the same questions. They probably negotiated their car, housekeeper over a few hundred dollars. But when I ask about $10k here or there f
945.
▲
by
tonymet
1y ago
That’s exactly what we experienced. There is no way to be an informed customer or “vote with your wallet”. For many diagnostics and services, the “provider” is 2 referrals downstream – the patient never elects or engages with them. Plus,
946.
▲
by
tonymet
1y ago
in every single case those estimates have been wrong. In most cases by 200% or more. And a many case there are no figures.
947.
▲
by
tonymet
1y ago
It’s just so insane that the entire industry accepts that no one knows how much things are. Even the “financial services” team will just say “yeah that estimate is wrong” and not blush. What are you guys all doing?
948.
▲
by
tonymet
1y ago
We had felt invulnerable until we weren’t. I’m sorry about your friend’s mom it’s vile and even more infuriating that there’s no clear “villain”. But you reach a point where you focus on what you have. Good doctors, admirable and compassi
949.
▲
by
tonymet
1y ago
thank you for saying that and I share your sadness / anger . A lot of people do. It’s not your fault, or ours. Healthcare is a truly evil bureaucracy staffed with some of the most loving and capable people I’ve seen. So I’ve been ab
950.
▲
by
tonymet
1y ago
There are two “provider networks” in our region: BCBS & The United Healthcare network. BCBS is supposed to be better. Were we to switch, let’s say they did cover the 1/10 out of network cases, we risk losing the 9/10 that we
951.
▲
by
tonymet
1y ago
We suddenly woke up in the Kafka-esque purgatory of critical American healthcare billing. We’re in our 50s and had been perfectly healthy, then suddenly we got diagnosed with what will be over $500k in treatment over the next 12 months— an
952.
▲
by
tonymet
1y ago
where i live we get snow for a few weeks a year. still the discipline is pretty poor with tire choice. Even here people rely too much on 4wd / AWD and neglect proper tires.
953.
▲
by
tonymet
1y ago
i agree. i was impressed that my recent RWD crossover came fit with All Weather / M+S Rated (light snow conditions) tires
954.
▲
by
tonymet
1y ago
some truth yes. even where I live with plenty of winter conditions, less than the midwest, still lots of poor car and tire choices. 6K# SUvs. even in the midwest lots of huge vehicles. perhaps with better tires, but still impractical.
955.
▲
by
tonymet
1y ago
I hope this improves rigor and common sense around winter driving in the USA. In Eastern Europe, drivers care more about tires, angility and driver skill. In the USA , drivers rely on large 4wd vehicles with high clearance for snow and ice
956.
▲
by
tonymet
1y ago
I call it “fan out” because it allows one repo to fan out to many deployments. The monorepo can be pushed to GitHub/gitlab and backed up regularly. It’s a lot easier to manage one big repo than dozens of tiny ones. And it helps with d
957.
▲
by
tonymet
1y ago
`apt install etckeeper` will setup a repo in /etc/.git for you. It tracks any changes made via apt, and it runs nightly for other changes. On your primary repo, create dirs for each machine e.g. monorepo/ ├─ Machine1&#x
958.
▲
by
tonymet
1y ago
My favorite git trick is using etckeeper & git subtree to manage multiple machines from a single repo . A single git repo can “fan out” to dozens of instances . It’s useful even for “managed” hosts with terraform because etckeeper sna
959.
▲
by
tonymet
1y ago
Message backup is a more complete integration with google drive / iCloud
960.
▲
by
tonymet
1y ago
It may be possible, but it be nearly impossible to make money off of it, which is why nearly every app/website has a consent prompt. I love how every argument is like "this extremely rare and practically useless application is pos
More ›