psaintla

5 ms·

1.
by psaintla 11y ago
I wouldn't go that far with Epic. They always have some unadvertised module they try to push on hospitals the minute they want to interface with a third party.
2.
by psaintla 11y ago
HL7 is a massive farce. It is an impossibly large standard that's difficult to understand and rarely used for interoperability.
3.
by psaintla 11y ago
You would think that's the case but from experience it's not. I can name two hospitals in NYC that were supposed to see savings from EHR implementations but ended up having multiple competing EHRs that don't speak to each ot
4.
by psaintla 11y ago
I didn't down vote you but here is the flaw. Rent typically trends upward with property values which eats away at a tenants ability to save. This is particularly true in markets like NYC, SF, LDN and HK where people are paying over 50
5.
by psaintla 11y ago
You're not a responsible adult until you recognize debt is a tool. You can use the tool well or poorly but it is just a tool.
6.
by psaintla 11y ago
With the housing bubble there wasn't a good way to look at each mortgage or the borrowers ability to pay. In a lot of cases the mortgage data was falsified or didn't even exist. In the aftermath of the bust several banks could n
7.
by psaintla 11y ago
Transparency of housing sales isn't what allowed people to see the contractions and it certainly didn't keep the problem from getting worse. Massive numbers of defaults were the indicator. What kept the problem from getting wors
8.
by psaintla 11y ago
That's a pretty hilarious statement considering the lack of transparency is what led to our own market crash.
9.
by psaintla 11y ago
I have a difficult time believing that stability is the main reason for the lack of integration. Admins have the ability enable/disable certain features. Throw a beta flag in front of the feature and say it's not supported.
10.
by psaintla 11y ago
I'm going to take a crazy leap here based on the commits. asm might not stand for what you think.
11.
by psaintla 11y ago
While most real estate agents are completely useless I don't believe the profession is useless. A good real estate agent knows everything about the area they service. What areas have bad reputations and crime scores but are perfectly
12.
by psaintla 11y ago
Yes, I should have been more clear. I meant both.
13.
by psaintla 11y ago
I have no idea what you think I said.
14.
by psaintla 11y ago
That's a lot to ask from a local government.
15.
by psaintla 11y ago
You say that like it's a simple thing, it's not. Here is a concrete example of what I mean. In NYC rent control/stabilization artificially limits the supply and increases the cost of non-stabilized units. If rent control w
16.
by psaintla 11y ago
There should be some limitations in place but how would you enforce them? If your local government checks Airbnb regularly to find people breaking the law then people will just use some other method to do the same thing as Airbnb.
17.
by psaintla 11y ago
It will remain true in places where there is limited supply due to geography or legal restrictions. Those also happen to be where a lot of major tourist destinations are.
18.
by psaintla 11y ago
This was inevitable and it is going to drive real estate sale and rental prices up dramatically in tourist destinations. I have relatives who own rental property in Key West, they used to sign year long leases and manage the property year
19.
by psaintla 11y ago
You're absolutely right but that doesn't mean those small subreddits didn't have an impact, /r/fatpeoplehate and /r/imgoingtohellforthis were increasingly showing up on the frontpage.
20.
by psaintla 11y ago
Except it won't necessarily match their previous salaries. There are a lot of high 5 digit and low six digit incomes in the social services job hierarchy.
21.
by psaintla 11y ago
The problem is, when you scrap all of those programs you immediately create more unemployment. There are a lot of jobs supporting social services, the hard part is going to be finding a way to phase in UBI without wrecking the economy.
22.
by psaintla 11y ago
Other than the obvious brand association issues that's not really Google's problem. IIRC this is part of the reason why Google changed their licensing agreement to prevent forked SDKs. If you want to ensure you receive timely up
23.
by psaintla 11y ago
Yes, let's not celebrate human achievement and think about the positive possibilities, let's focus on the negative at every turn.
24.
by psaintla 11y ago
The cynicism is amazing.
25.
by psaintla 11y ago
I'm not sure what fossil fuels and nuclear weapons have to do with this but 1075 years isn't a very long time. There may not be intelligent life on the planet yet.
26.
by psaintla 11y ago
Around 2005 I worked for a fairly large company that did exactly what you're suggesting with Postgresql and it was a complete disaster. Have you ever tried implementing sharding with all of your business logic in stored procedures? H
27.
by psaintla 11y ago
Whenever you hear any studies regarding robotic surgery, take it with a dump truck of salt. I worked at a hospital that was well known for robotic surgery and the surgeons are extremely hostile towards new technology of any sort. Any tech
28.
by psaintla 11y ago
I'm not saying they are, I'm just telling you that's what they are doing.
29.
by psaintla 11y ago
Because they know it will take time for the law to catch up with them. In the meantime they profit and get the public to demand their services. There are two ways to get what you want, Ask for permission or ask for forgiveness.
30.
by psaintla 11y ago
I've gotten a lot of hell for saying this but the poor don't rise up because the floor in the United States is typically not starvation. Social services are not to help the poor, they are there to make sure the floor in the US is

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