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I think they're saying that OpenSSL is NOT elegant, but that it is successful regardless; hence, code elegance is irrelevant to whether a product is successful or not (and thus that horribly ugly LLM-generated code has a shot at becoming successful).

Big fan of MeshCore; been using it recently and it Just Works. Especially where I am in the USA Pacific Northwest, the mesh is always hopping with conversation. I have run into delivery issues a single digit number of times over hundreds of messages.

It took me a bit to get my head around this one; https://healthapiguy.substack.com/p/epic-v-health-gorilla-a-... has a great alternative breakdown. This is my understanding of the situation; if someone has any corrections, I would love to be enlightened!

Essentially, Epic, a massive healthcare company running the majority of electronic healthcare/medical record systems for hospitals/etc. makes data available to various data brokers, who then subcontract to other healthcare providers. The goal of this subcontracting is that if you e.g. come into an emergency department unconscious, but with identification, doctors can pull data from the broker, solemnly swear that they're treating you, and gain access to your whole medical record. Generally, good actors in this space will seek signed consent paperwork, or have policies in place with narrow carve-outs for emergency access, but there is (to my understanding) not a centralized, standardized system of access request, patient approval, and auditing.

There have been many issues in the past with shady providers who are, indeed, treating the patients, also turning around to sell the data they have to legal firms looking for plantiffs for lawsuits under the guise of "we're helping the patient by potentially giving them access to lawsuits that will advocate for them."

This current lawsuit alleges that the data brokers this time were simply turning a blind eye to completely fraudulent actors who never had the patient under their care, and that their access was knowingly used to bulk-mine patient data for lawsuit opportunities.


I wouldn't call CareQuality a "data broker" as much as it is an interoperability framework. It's essentially a big distributed system of participants who agree to instantly share patient records - CareQuality maintains a central list of participants and the URLs where they can be reached. Since the technical requirements to actually participate in this network are fairly complex (far more than a hospital IT can or should manage), there are companies like Health Gorilla which serve as QHINs (Qualified Health Information Networks) which query the network on behalf of their customers (i.e. doctors engaging in some form of care).

There are many gray areas to this - for example, a value-based care program or ACO can pull records en masse, for the purpose of "care coordination" (i.e. checking if a particular patient requires intervention). However, what Health Gorilla has done is certainly no gray area as some articles on this matter suggest - if the allegations are true, then they have engaged in outright criminal behavior along with their co-conspirators (RavillaMed, LlamaLab, and others). Thankfully, this situation has completely eroded all trust in Health Gorilla and prompted a massive customer exodus.


That's wild; thanks for the clarification.

Crazily, I only stumbled upon this because I ordered some discount blood labs and the requisition had Health Gorilla on the letterhead, which I found an absurd company name, so I googled them, and found the lawsuit which was filed the day prior. Absolute chance.


You mentioned working on it — do you have a particular strategy, venue, or opening line/guiding ethos that you find works well?

I love making friends with strangers, but usually rely on the "handshake protocol" of a casual observation or small talk that is then accepted (with a similar slight-deepening or extension of the thought) or rejected (casual assent or no response at all), until the bandwidth opens and I can foster a more meaningful moment of connection with a pivot like "Oh awesome that you do $THING for work. Do you enjoy what you do?" or "Oh I don't know much about $LOCATION_YOURE_FROM. Good spot for a vacation, or good spot to drive straight through?"

As somewhere between "thinks like an engineer" and "on the spectrum," I really enjoy hearing others' strategies or optimizations (optimizing for quality, connection, warmth) for social situations.


I found out that everybody has at least one subject that they are super passionate and knowledgeable about, and that I can learn at least this one thing from any human being. So instead of pushing the conversation into my areas of expertise, I find it more fun for everybody to let people steer it to what they really care about. This way we both get a sense of connection, it takes the weight of my shoulder to have to perform or amuse people, I get to learn random interesting things, and on top of that people think I am an amazing conversational partner, even though its them who do most of the talking (lol). Sometime people go full autistic on you and give you a massive ear beating but then you always have the option of saying "hey, it's been great talking to you, but I gotta run for a $thing. see you around!"


FWIW I think you're already doing the thing. That's it. But I'd suggest trying not to care too much about optimisation. It's unnecessary in my view because it implicit puts goals & outcomes as the end, when it's, ore about meandering and seeing where things go, endless possibilities.


> "Oh I don't know much about $LOCATION_YOURE_FROM."

I always love the most to chat with strangers in line or wherever when I'm in a foreign country, as there's so much good dirt for digging with someone from a far away place. It's funny, though, the number of times I strike up a conversation with someone halfway around the world only to find out they live within a few miles of me. Last time I was in London, for example, the lady in line in front of me had an Australian accent, and I always enjoy talking to Aussies. Yep, she was an Aussie... Who lives a few towns over from me in the US, in the same apartment complex my wife lived in when I met her.


I think it's intended as a comparison of cost when building a gaming-capable computer vs. a console of somewhat equivalent power.

It used to be a general rule of thumb that you could build a computer of roughly equivalent power for the cost of a game console, or a little more — now the memory costs more than the whole console.


> I think it's intended as a comparison of cost when building a gaming-capable computer vs. a console of somewhat equivalent power.

The PS5 has 16GB of RAM. One can buy 16GB of RAM for ~$100 [1].

[1] https://pcpartpicker.com/product/9fgFf7/kingston-fury-beast-...


Thank you for mentioning this. Not knowing the specs of a PS5, I'd assumed that the comparison was made because the PS5 now sold for less than the RAM it contains, and scalpers were now hungrily buying up all available PlayStation inventory just to tear them open and feast on the RAM inside.

But since it's 16 GB, the comparison doesn't really make sense.


But that’s not apples to apples, a computer will generally need more ram to compete with a console.


The PS5 also has GDDR6 RAM, compared to the DDR5 in the link.


It still is a rule of thumb, you dont need DDR5 for a gaming computer let alone 64gb. A low end am4 cpu + 16gb of DD4 3600 and a decent gpu will beat a ps5 in performance and cost. I dont understand why the headline made this strange comparison.


The thing is, on a ps5 you just open the game and it runs fine.

On a PC you may have the bright idea to open a browser along with the game for walkthroughs/hints. Or Discord to chat with your friends while gaming.

Due to javascript bloat, your working set size goes from 16 to 48-64 Gb in a jiffy.


That's still not a fair comparison, because on a console you don't have the option to do any of that.


It is a pretty fair comparison.

You do have the option to open up Discord voice chats on PS5. Amazing what Discord could do when forced to actually write something efficient.

Youtube also exists as an app, and maybe you can trick the heavily gimped built in browser to go there as well, although last I checked it wasn't trivial.


TIL! That's neat, I wonder how much RAM that client uses compared to the desktop one.


Personally I haven’t caught the discord electron app (it’s not a desktop client) using more than 4G of ram at one time :)

Maybe 6 once. Try not to leave it for weeks displaying the memes/cat photos channels…


It kind of is, because if you use a PC like a console 16 Gb is enough. If you use a PC like a PC it's not.


I can run the spotify electron app, discord and watch youtube on my 2nd monitor perfectly fine with 16gb of DDR3 ram. When I open my game I get better fps than the ps5.


It doesn't help that GPUs have also generally gone up over the past decade because there's more market for them besides gaming, along with how they benefit from being hugely parallel and the larger you can make them the better, and fabrication costs are shooting up. I think there was a GamersNexus video at the launch of one of the previous GPU generations that noted that there was a move from "more for your money" each generation towards "more for more", i.e. keeping the value roughly static and increasing the amount they charged for a more capable product.


To be fair, if this keeps up, expect the price of a PS5 to skyrocket too.


Hopefully Sony has long-term contracts for their components. I presume they have an idea of how many PS5s they're going to be making still.


All that but they can still jack up the price cus why not.


Because, unless this changed, consoles are loss-leaders. At least back in the ps2/gamecube/OG Xbox, the systems were sold at a loss and the money was recouped on controllers and games.

Can’t use a ps2 controller to play a ps2 game on a ps2 without the ps2 console.

If this is still true or not, I don’t know. I do know that the ps5 with an optical drive cost $100 more than the digital edition. I also know that the drive does not cost $100 and sincerely doubt the labor makes up the difference.

So maybe I talked myself out of my whole point.


Privacy is vital, but this isn't covered under HIPAA. As they are not a covered entity nor handling medical records, they're beholden to the same privacy laws as any other company.

HIPAA's scope is actually basically nonexistent once you get away from healthcare providers, insurance companies, and the people that handle their data/they do business with. Talking with someone (even a company) about health conditions, mental health, etc. does not make them a medical provider.


> Talking with someone (even a company) about health conditions, mental health, etc. does not make them a medical provider.

Also not when the entity behaves as though they are a mental health service professional? At what point do you put the burden on the apparently mentally ill person to know better?


Google, OpenAI, Anthropic don't advertise any of their services as medical so why?

You Google your symptoms constantly. You read from WebMD or Wiki drug pages. None of these should be under HIPAA.


You're not putting the burden on them. They don't need to comply with HIPAA. But you can't just turn people into healthcare providers who aren't them and don't claim to be them.


That line of reasoning would just lead to every LLM message and every second comment on the internet starting with the sentence "this is not medical advice". It would do nothing but add another layer of noise to all communication


Correlated data: sites.google.com has been blocked via machine policy at multiple workplaces I've come into contact with.


I find it especially helpful during refactors — understanding the significance/meaning of the variable and what its values can be (and are constrained to) and not just the type is great, but if typing is complete, I can also go and see everywhere that type can be ingested, knowing every surface that uses it and that might need to be refactored.


This was one of my favorites -- with the voice filter the narration feels like it's part of the song which I found especially fun.

https://www.youtube.com/watch?v=GWXCCBsOMSg


That channel has been all over my recommendations, it's awesome so much skill!


Me too! Came on YouTube feed today. Blown the fuck away. I Google Strudel REPL to learn more and found this thread as well. :)

So stoked to play with this.


> All I know is a [knot used to join a length of rope into a circle/loop, performed three times) is nearly impossible to untie [when tied with large-diameter polyethylene plastic rope] after [falling (while climbing) and being caught by the loop I made to take load] made out of it. It's sort of comforting have the rock hard knot; it'll break the [loop itself, structurally] before untying. Interestingly, [if you don't tighten the knot by dropping bodyweight from a height on it like I did, they're] pretty simple to untie!


This is amazing.

Thank you!


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