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jmye

888 karmajoined 4 ปีที่แล้ว
Healthcare data and clinical operations, primarily supporting providers in risk-bearing, value-based care and pop health.

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jmye
·4 วันที่ผ่านมา·discuss
> Wouldn't a strict interpretation of your opinion imply speed governors?

Shouldn't we have them, if we generally agree that speed limits are good? If not, why have speed limits at all?

Would it not be better to physically limit your speed to 20mph in school zones, for instance? What "freedom" is being limited, in that case?

(Let's ignore stupid edge cases: sure you could need to get to the hospital - in that case you should call an ambulance. The availability and expense of that service is irrelevant to the question, here.)
jmye
·5 วันที่ผ่านมา·discuss
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jmye
·5 วันที่ผ่านมา·discuss
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jmye
·5 วันที่ผ่านมา·discuss
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jmye
·5 วันที่ผ่านมา·discuss
I’ve started trying to guess how many top-level comments will be from people who don’t know anything about the study but have read a lot of erowid or whatever, acting like study experts and thinking “correlation is not causation” is an impressive thing to say. It’s like guessing jelly beans in a jar.

All noise, zero signal, anytime pot (especially) or other drugs are mentioned.
jmye
·6 วันที่ผ่านมา·discuss
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jmye
·6 วันที่ผ่านมา·discuss
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jmye
·7 วันที่ผ่านมา·discuss
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jmye
·7 วันที่ผ่านมา·discuss
> If AI was beneficial, no one would profitize it

What? How does that follow?
jmye
·7 วันที่ผ่านมา·discuss
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jmye
·10 วันที่ผ่านมา·discuss
> And no, there's no simple solution to this problem. The notion that something like "Medicare for All" would solve the problem is a total fantasy, disconnected from actual US healthcare economics. Any real solution will have to work on multiple angles including preventive care, PBMs, provider wages, rationing, drug prices, fraud, malpractice insurance, interoperability technology, etc.

I have been saying this for years. I'm so tired of social media memes turning into sage wisdom for an entire generation who can barely spell healthcare, let alone have any vague understanding of it.

I'm and-then'ing, not disagreeing, but the big healthcare cost fix, IMO, still centers around education cost reform, and fixing the supply of mid-levels+ across the country.
jmye
·10 วันที่ผ่านมา·discuss
> As successful as Obamacare has been it didn't really do much to lower the cost of healthcare

It dramatically lowered the cost to consumers. Further, conflating overall healthcare spend with the portion of spend tied to a significantly lower-cost population is apples and oranges at best and represents a fundamental misunderstanding of healthcare cost in general. It's ok to not have opinions about things you know you don't understand.
jmye
·10 วันที่ผ่านมา·discuss
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jmye
·11 วันที่ผ่านมา·discuss
> the only definition that is relevant in this context is the one held by the author of the earlier comment.

This is absolute nonsense. We use common language to refer to common things in understandable ways in order to communicate with each other. You don't get to just handwave baldly incorrect statements as "well maybe he just has a different personal definition" without basically rendering literally all conversation moot and pointless.

"Yeah, I know he said 2+2 is 5, but you don't know he defines 5" is just as patently silly.
jmye
·11 วันที่ผ่านมา·discuss
> You make enough money to pay for your own food, housing, and transportation in full, with enough buffer for emergencies, without needing to borrow a cent

So you're saying I'm in poverty because I couldn't buy my house and my car outright?

> and medical expenses in retirement

You're saying I'm in poverty because I understand and intend to use Medicare?

These are trivially poor definitions.
jmye
·11 วันที่ผ่านมา·discuss
What specific point are you trying to make, here? Do you think a news organization should not be acquiring tech tools? Do you think that state-funded journalism matters, in this context, or do you just think those are good bogeyman words?

Come on, be proud of your opinions. Don't hide behind scare quotes and insinuations. Don't be a coward.
jmye
·12 วันที่ผ่านมา·discuss
"I'm going to take this box razor and make some really deep cuts around the middle of my face because my tech sector is too good and that's actually a bad thing because $foreigners."
jmye
·12 วันที่ผ่านมา·discuss
What does "free" have to do with anything?
jmye
·12 วันที่ผ่านมา·discuss
How many “average C-levels” have you talked to? What, specifically, do you think that actually means? Do you think the average CMO and CTO are identical, and have identical profiles in this case?

Or are you just blathering about things you’ve never experienced because you met the “CEO” of a five person company once? I find grand proclamations by people who speak in TikTok absolutely laughable memeing.
jmye
·12 วันที่ผ่านมา·discuss
Eh, it’s less hysterical than the ever-pervasive belief among junior devs that they are the smartest people in the room and that all managers everywhere are dumb.

Though I understand that gets social validation from other people with no actual experience.