Viewing profile — riceart

Insurance exists to cover losses from unexpected events. Medical complications are unexpected events. Your hungover surgeon is a bullshit strawman - most complications have nothing…

> Like I shouldn't be billed extra if my surgeon is hungover and things don't go smoothly. That’s what you think is the common root cause of complications? You clearly are not inte…

> The service seems to be by a company called Epic (www.epic.com), based in Wisconsin. Lol, that mom and pop shop. That’s the largest EMR vendor in North America and second in the …

Without cryptographic techniques that is all easily forged.

Have you ever had to enter codes as a provider in Epic for instance? The UX is fucking terrible. Incentives are completely misaligned for accurate coding in academic institutions. …

Right from the about page: > Our clinical vignettes serve multiple purposes. They provide a distinctive, engaging learning tool for medical students and healthcare professionals lo…

> X-rays confirmed a sprain in Gus's wrist Eh, ok. Yet more of the laziest cynical AI generated garbage. AI winter can’t come soon enough. Seriously I see nothing here of interest …

> I'm confused why you don't believe me that internet penetration in the salt lake valley was very limited in 1994 I do believe you. Really have no dispute with any details you’re …

Ok not “way” after - really splitting hairs here. Point still stands public commercial dialup internet was available pretty much everywhere. Call them early adopters or whatever - …

> The internet was still the land of the nerds until the early 2000's The first dot com boom, sort of the genesis of fortunes that make this site exist was prior to the early 2000s…

> This is not correct for access open to the general public. The first commercial ISP in Utah, Xmission, was founded in 1993. Yes, many of us had internet access through the Univer…

1994 was way way after dialup Internet access was mainstream (both Yahoo and Amazon were founded that year). Any first access in the state would be sometime in the 80s. By 1993 the…

Eh, I think the person you’re replying to would assert that Usenet thrived prior to 1993. We don’t need a lesson about eternal September either.

> In embedded work, you don't get extra credit for being faster than necessary. You absolutely do when you can cut power requirements and get by with cheaper CPU/hardware. I ran a …

> IRC was never federated. What? What do you think the term “relay” in IRC means? The jargon term netsplit used even for newer federated networks (even used in these comments elsew…

> With federation, there is no longer an incentive to do so, because you don't have a moat Domination is orthogonal to a technical federation feature. Once there is enough imbalanc…

I dunno maybe I’m wrong about the technical stuff. My minor point is that this software has some technical flaws today - forums and link aggregators are solved problems over and ov…

> Sharding, caching and queuing doesn't break federation. That's not a core flaw. I didn’t say it did, but it doesn’t enhance it either. > As the ecosystem grows, a shortlist of po…

It’s a federated system without any of the affordances that would make it usable (or particularly interesting to me). Literally load balancing by going to a long list of alternate …

Let’s be real here this system is flawed at its core though. This can’t even handle the load of some moderately popular PHP forums with simple deployment or even this site nothing …