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diob

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diob
·il y a 18 jours·discuss
It's strange to say it might be biased. Bias is absolutely impossible to avoid, especially with how today's "AI" works.

You might be able to avoid it with a panel of AI, similar to how we try to avoid it by using panels of humans, but even that turns out to be contentious and not surefire.

I have feeling with AI it'll be even worse, since folks / companies can pass the buck (similar to how health insurance companies are now using it to deny folks).
diob
·le mois dernier·discuss
I have a fear that my CPAP machine will die one day while I'm away from home, such as vacation overseas or during a business trip. I literally no longer can sleep without it, I have anatomical sleep apnea (perfectly fit), but it's quite severe (79 AHI).

I once forgot it on a trip to a different state, and tried to sleep in the hotel but basically just had insomnia, as I could no longer pass out when I woke up from the apneas. Terrifying to think I did so earlier in my life.

Anyways, I lucked out as I went to craigslist and found one during that trip the next day.

But even if I was home, I'm no longer eligible for a CPAP since my last sleep study was roughly 13 years ago. Apparently they think my anatomy is magically improved since then, aka the US medical system wants their cut of my time / money to keep living.

So even my recent new purchases are from folks on craigslist.

It's wild they would rather me go through another sleep study when during my initial one they cut it short because I had such severe apnea (of the sort where I could have a heart attack without it). They hooked me up to a machine within around an hr or so. Now that I'm older, the risk is even worse.
diob
·le mois dernier·discuss
I would disagree that it's a sweet spot for execs.

Essentially no one should be working 60 hours a week, the human mind needs breaks to unconsciously work on problems.

I would posit unless someone is doing pure labor, anything involving creativity / problem solving actually has worse returns past 30 hrs a week of intense work.

Anyone in exec positions claiming otherwise likely would hesitate to let someone actually see what they do all day / week. No doubt they "work" all day in some cases, but that day is filled with lots of non work / downtime.
diob
·le mois dernier·discuss
I don't think it's meant to browbeat you, that feels a rather uncharitable read of what is essentially just the author saying connect with the people in your life because they'd love to hear from you and likely need someone to talk to as well.
diob
·il y a 2 mois·discuss
Yeah, IBM is nothing like Google, it's a weird comparison.
diob
·il y a 3 mois·discuss
I'm kind of astonished that you think this, there are lots of studies about intergenerational economic mobility in the USA compared to other places.

https://www.chicagofed.org/research/content-areas/mobility/i... for instance.

https://www.mdpi.com/1660-4601/17/4/1179

Anecdotally, I can also attest to it. I know lots of "finally successful" folks who end up spending their wealth keeping their siblings and extended family afloat. There's no real safety net for them in the USA.
diob
·il y a 5 mois·discuss
Not really, in my experience you still have to be good at solving problems to use it effectively. Claude (and other AI) can help folks find a "fix", but a lot of times it's a band-aid if the user doesn't understand how to debug / solve things themselves.

So the type of programmers you're talking about, who could solve complex problems, are actually just enhanced by it.
diob
·il y a 6 mois·discuss
Yes, exactly. I have exercised daily (either weight training or cardio) for nearly 20 years. I've also had anxiety and depression for that entire stretch of time.

Exercise was how I stayed mildly sane for a good majority of those years, but when I started taking medication it was like the entire world changed. I wish I had started earlier in life. It helped me to become a lot more introspective as well, being able to better examine why I was feeling the way I did.

There are some things that no amount of exercise or "healthy living" can fix, that's unfortunately just the human condition. It's nothing to be ashamed of.
diob
·il y a 6 mois·discuss
Exactly this. I don't do it much in the USA to be honest, but when traveling.
diob
·il y a 7 mois·discuss
Yeah, they acquired the company I worked at and left us alone for a year or two. Each year would get worse though, and each year we swapped nearly all bureaucratic things around. Always a different way to do performance reviews goals, etc.

A lot of the successful projects at the original company are now dead.

It's also weird being in IBM, because if your "contract" ends they put you on the bench. Then you basically have to job hunt within IBM, and if you can't find anything within a month or so you are out. It's super weird.
diob
·il y a 8 mois·discuss
The thing is, the people on those "algorithm-free" forums still get manipulated by the algorithm in the rest of their life. So it seeps into everything.
diob
·il y a 8 mois·discuss
It’s always frustrating to see the implication that people just need to exercise to solve their mental health struggles. It might not be your intention, but it's a take I see a lot online from influencers.

I say this as someone who is extremely fit. I've worked out religiously since high school. While exercise is integral to me feeling somewhat normal and provides a short-term boost, that is just not how it works for everyone. Some of us have 'broken brains' that cardio can't fix.

Exercise manages my baseline, but sertraline is what helped me finally bridge the gap. It allowed me to regulate my emotions and anxiety in a way that no amount of exercise ever did. And the introspection from being on it helped me make lifelong changes.

To be honest, fearmongering from folks online is what stopped me from taking it sooner, but I wish I had. It was fairly life-changing.
diob
·il y a 8 mois·discuss
I think the reality is likely more nuanced than 'all good' or 'all bad.' While the side effects you linked are real risks that should be taken seriously, claiming these drugs are 'by no means safe,' cause 'mostly permanent' damage, or lack evidence is a pretty extreme generalization that doesn't align with the experience of millions of patients.

Speaking for myself, I took sertraline for years and it did wonders for my mental health. It didn't ruin my life or numb me, it gave me the ability to regulate my emotions when I previously struggled immensely with anger and crippling anxiety.

It’s possible for these drugs to be handed out too easily in some contexts and simultaneously be life-saving, effective treatments for those who genuinely need them. Suggesting they violate 'do no harm' ignores the massive harm caused by leaving severe mental health struggles untreated.
diob
·il y a 8 mois·discuss
Yes, that image is so funny, because it really is the difference between me being able to make a meal for myself vs needing something immediate.

It also helped do wonders for my anxiety, which I previously treated with sertaline.

I'm not the hyperactive sort of individual who has ADHD so I didn't get diagnosed until late in life, around a year or so ago, I'm just the "Inattentive" type.

But finally I can take my meds, and do things that other people do without feeling like it's mental torture. And I can also remember to do important things, like my taxes, on time!

It's so weird comparing my days on it to off it, when I happen to run out. I start getting a backlog of little things that my brain decided it couldn't take one minute to knock out.
diob
·il y a 8 mois·discuss
I tried to get Kickstarter to take down an obvious scam a while back. Best I could do was post on Reddit to warn folks though.

Checked on it recently, so many comments of folks asking for shipping details / anything. Hundreds of thousands of dollars just scammed from folks. And they're still raising / stringing folks along.

It's wild.
diob
·il y a 9 mois·discuss
I love that you're thinking this is what USA insurance companies are denying, not simple diagnostics / medications that save lives.
diob
·il y a 9 mois·discuss
That analysis is flawed because it misses the systemic nature of the risk. The Out-of-Pocket Max is an annual liability, not a one-time fix. A single serious illness, like cancer, spans multiple plan years. A $9,200 OOPM hitting three years in a row, on top of $15k-$18k in annual premiums, is the bankruptcy. This also assumes 100% in-network care, which is a fantasy in a real emergency when you don't get to pick the ambulance or the anesthesiologist. This isn't a "rainy day fund" problem. This is a system that requires a $50k-$100k emergency fund just to handle a single medical event, all while assuming you're still healthy enough to keep the job that provides the plan.

"Always avoid the hospital" isn't a choice either. You don't "negotiate" with a surgery center for a heart attack, a stroke, or a major car accident, which are some of the common events that cause this. And the claim that "medical debt will never lead to collections" is factually incorrect.

It is the number one cause of collections in the United States. The idea that every citizen can just "hire a decent lawyer" or "run a good PR push" to settle debt isn't a functional or scalable mechanism, nor is it reality.
diob
·il y a 9 mois·discuss
Does such a thing exist these days? If so I can't find it.

More importantly, it doesn't solve the real problem. You're still subject to the same system. Fighting for prior authorizations, staying in-network, and navigating all the other administrative friction.

More than likely they'd find a way to make you go bankrupt rather than pay up. That or deny till you die.
diob
·il y a 9 mois·discuss
A lot of folks are looking at the higher US comp but aren't correctly pricing in the long-term risk.

You can be fine for years, but a single, major medical event can zero out those salary gains and lead directly to bankruptcy. It's a systemic flaw that isn't obvious until it's your turn to deal with it.
diob
·il y a 9 mois·discuss
I think they're just as maintainable as any other legacy app you might encounter. As in, it can be hard. But it's doable. And it depends on the team that made it (AI + the human).