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Spooky23

46,816 karmajoined قبل 14 سنة

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29 points·by Spooky23·قبل 6 أشهر·0 comments

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Spooky23
·أمس·discuss
I don’t live in a red state so we have a bizarrely low minimum.
Spooky23
·أمس·discuss
That’s wrong. The poor people who don’t pay are Medicare and Medicaid patients, and both pay for medically necessary transportation.

Those calls essentially cover the base business expenses.
Spooky23
·أمس·discuss
EMTs are like veterinarians. Lovely people who get ruthlessly exploited. Benefits are garbage unless you’re a unionized public employee.
Spooky23
·أمس·discuss
Ambulance crews are almost never 2 paramedics. Most often they transport and do BLS only. If they are it’s because a local government is paying for that service. EMTs make minimum wage.

The people who own ambulances typically have a little cartel like business in a region and print money. They refuse to sign insurance contracts so they are almost always out of network and will not accept direct insurance payments.

When my wife had cancer, she ended up at a hospital that didn’t have the services she needed becuase the ER was full at the trauma center hospital. I was able to arrange a transfer, and paid $1800 for a drive that was approximately 12 city blocks. We had to do that to avoid a complication with hospital admission and coverage. The crew was cool and we did get to honk the siren.

Air ambulance is worse.
Spooky23
·قبل 3 أيام·discuss
The thing with the Economist is that they have a style that’s like an erudite version of the old Time magazine — that is stories written to say what the editors want. Except the economist is way more dogmatic.

I used to read it regularly. I can’t imagine anyone looking to them for predictions, as even a casual reader could probably outline the magazine’s views on most any topic. Let me skim 4-5 recent issues, and I could probably replicate anything they would predict with like 85% accuracy!

I will say that my favorite part of the magazine was the wacky ads for big shots working for African countries, various UN things, NGOs, etc.
Spooky23
·قبل 3 أيام·discuss
I’m imagine that’s coming soon. Most new large cars are getting turbos now to meet federal and state standards, the turbos wear faster and I’m sure there will be a desire to validate them.
Spooky23
·قبل 3 أيام·discuss
I bought a fancy Toyota SUV after my trusty 2008 Honda was damaged in an accident.

The nagging is ridiculous. I’m actually not quite sure what lane assist does, but if I look at my side mirror it chastises me for not being attentive. It also has locked up the brakes and made me think I hit somebody when backing into my driveway.

I wish I had fixed the Honda!
Spooky23
·قبل 5 أيام·discuss
The military thing is a much bigger flywheel. A lot of technology really comes out of military research or is supported in key ways by military projects.

Healthcare was similar until the wage stagnation really started impacting the ability to deliver service. It went from 9% of GDP in 1970 to 19% today, supported by payroll that has risen way under inflation.

About 20% of the US economy is killing people, 20% healing people, and the rest is everything else.
Spooky23
·قبل 5 أيام·discuss
It’s the logical next step for the crypto bros. At this point it’s just political patronage for the small time MAGA grifters who are outside of the big boy financial frauds.
Spooky23
·قبل 5 أيام·discuss
Something bad will happen, and the idiots will just follow whatever the next thing is.
Spooky23
·قبل 5 أيام·discuss
In Ukraine, that was last year. The persistent drone surveillance and strike capability and fire radars have made them very vulnerable to counter battery/drone fires.

The failure of legacy air power to sustain in a hostile environment led to the WW1 style artillery duels. From what I gather in the public domain, drones have created kilometers deep kill zones where nothing can survive. That’s capability that I think is exclusive to the US sans drone.
Spooky23
·قبل 5 أيام·discuss
Artillery and air power killed fortresses. De-industrialization and technology pretty much killed artillery And sustained air power engagements seem to be difficult for the same reasons.

Drones democratize airpower but have significant limits.
Spooky23
·قبل 5 أيام·discuss
Exactly. Won’t someone think of the children?
Spooky23
·قبل 5 أيام·discuss
With a metastudy based on EMR data, I’d only use this to advocate for studying the issue further.

Information like this get collected at a point in time and never goes away. People have EMR fatigue and click though the questions. Anecdotal point, several years ago I accidentally stated that I drank enough to be considered a severe alcoholic. Even after correcting it at my next visit, it never really goes away, I get asked lifestyle questions relating to alcoholism.

Similarly advocacy against drunk driving, a noble cause, juiced up the stats. If you run over and injure a guy on the sidewalk carrying a sealed bottle of liquor, it will be labeled “alcohol related” more often than not based on officer discretion. If it’s fatal, the autopsy will take that conclusion if any party has a 0.01 BAC.
Spooky23
·قبل 6 أيام·discuss
It doesn’t matter to these people. The guy is an official martyr now. Phoney patriots supposedly representing phony religion looking the stage a coup.
Spooky23
·قبل 7 أيام·discuss
They are optimizing for time and cost, not message board clout :)

They presort regionally and the trucks at the delivery stations are loaded with assigned containers/pouches of packages. It doesn’t make sense to hold a truck for a pouch and doesn’t really save anything to have ground covered twice.

They do other stuff too. They schlep heavy stuff on UPS, and hazardous or liquids usually go USPS.
Spooky23
·قبل 7 أيام·discuss
That service was really weird. They had a special arrangement with the post office.

They’d slice cold cuts in New Jersey, and have USPS bring it to upstate NY and deliver before 8AM. There would literally be a mail van with two orders in it.
Spooky23
·قبل 7 أيام·discuss
There’s a whole layer of companies providing these data centers. CoreWeave is one example, and there are many others. SpaceX is in this business in their gross Memphis facility.

The big providers lease capacity in addition to their own capital investments. It helps them hedge risk. When the merry go round stops on AI, these will all go bankrupt, and H100s will be like a circa 2001 Aeron chair.
Spooky23
·قبل 7 أيام·discuss
And yet here you are, chilling with the dumbs.
Spooky23
·قبل 7 أيام·discuss
That’s just a minor speed bump in the circus of criminality that has been created by the US regime.

When Elon did his thing, it was way more than just firing federal workers. They dismantled key parts of the regulatory system. The SEC was purged, the lawyers were chased out of DoJ, and contracts that were key to external/industry groups like FINRA were terminated — they purged most of their staff.

AI and crypto is just the means of the grift. The corruption vig being applied to the markets is distorting everything. We see it with memory and food.