keane

Joined 16 years ago

Karma
1,208
Submissions
402
Member since
Mar 1
YC applicant (S11)
View on Hacker News

Recent submissions

Comment · 1 hour ago
"So what?" The shortsighted protectionism in 1910 and 1997 put them into the eyes of political scientists and ideologues and, before AI, there was talk of addressing the shortage using graduates of foreign schools and scope increases for mid-level providers: https://www.politico.com/agenda/story/2017/10/25/doctors-sal... Now, if something radical doesn't change, the shortage will probably primarily be addressed by increased private equity corporatization of medicine and AI-assisted diagnosis (made politically possibly by the retaining of concierge practices for the wealthy). This started with someone saying "we should have several times as many doctors" and, whether those are US trained or foreign (NHS trained?), the likely result is physician wages and power will fall. America was kind of designed to be controlled by the professional class, rather than landed aristocrats, so this will contribute to the ongoing reshaping of the country.
Comment · 7 hours ago
Comment · 9 hours ago
You're citing an AMA public relations campaign to retain public funding of residencies but I'm not sure anyone here is arguing that it should be cut. The AMA made public statements holding the same position about increasing funding and removing the 1997 residency caps in 2006. And yet notable academics since 2006 still have suggested (eg, the books in 2017 and 2020) that the profession, ie the membership of the AMA, presumably even with this formal position taken by their association body, is behaving in a protectionist manner. Either way, part of the argument is that physicians' documented earlier collective behavior (old boys club), suspected ongoing culture, and inherent economic interests, are still causing present and future problems.
Comment · 10 hours ago
The physician protection racket case is put forward by Nobel Prize in Economics laureate Angus Deaton and his wife Princeton economist Anne Case in their 2020 book Deaths of Despair and the Future of Capitalism: https://press.princeton.edu/books/hardcover/9780691190785/de...

This AMA/ACGME protection theory is covered by Yascha Mounk at https://www.persuasion.community/p/deaton and elsewhere.

Discussion of physician protectionism is also found in the 2017 book by John Hopkins political science professor Steven Teles and Niskanen Center vice president Brink Lindsey The Captured Economy: https://global.oup.com/academic/product/the-captured-economy...

The New York Times covered the AMA's lobbying in this 1986 article: https://www.nytimes.com/1986/06/14/us/ama-board-studies-ways...

There's also the 1970 article by University of Chicago economics professor Reuben A. Kessel, The A.M.A. and the Supply of Physicians: https://scholarship.law.duke.edu/lcp/vol35/iss2/4/

Comment · 14 hours ago
Your first paragraph is correct but the second doesn't necessarily follow as there's other disease inflammation that resembles gluten sensitivity like that caused by Giardia. See the discussion here on an instance of giardiasis: https://news.ycombinator.com/item?id=41855307

There's also things found alongside gluten like arabinoxylan which promotes the growth of certain bacteria like prevotella. At this I should mention that a possibly helpful daily breakfast to address digestion issues (with both prebiotics and probiotics) is greek yogurt + frozen blueberries + chopped walnuts. Source: https://www.northwell.edu/news/insights/are-blueberries-good... (see also doi:10.3390/nu10020244, doi:10.1016/j.jnutbio.2017.07.001, doi:10.1002/mnfr.202300096)

Comment · 4 days ago
Congratulations on this release!
Comment · 9 days ago
Would depend on jurisdiction, but set the upper range on the year slider to 1930 for an approximation.
Comment · 14 days ago
Comment · 18 days ago
Comment · 27 days ago
MARCH is used by some systems
Comment · 27 days ago
If you want to learn CPR, the Disque Foundation allows you to take the class for free and attests to be aligned with the current ILCOR protocol (you might catch minor discrepancies). Before you pay them though, know that for certification institutions generally require an AHA or ARC issued certificate.

CPR: https://disquefoundation.org/cpr-first-aid-aed-certification...

BLS: https://disquefoundation.org/bls-certification-renewal/

To become certified, you can do the AHA HeartCode adaptive class online in about an hour, followed by a 10 minute skills test on a Voice-Assisted Manikin. The manikin simulations guide you with incredible feedback on depth and rate and have come a long way from the old style of dummies. Conveniently, these are in self-serve stations across the country (often in an office space near your local hospital that you let yourself into with a combination code).

Also, some of the more useful learning tools are the animated visualizations showing the physiology involved such as https://youtube.com/watch?v=9QPwrVIBMvY — these help learners conceptualize how the first few compressions are not effectively circulating blood but are instead building up pressure (which helps them understand why continuous compressions are considered by healthcare professionals when there is not yet an advanced airway and used after there is — https://www.ahajournals.org/doi/10.1161/CIR.0000000000001369...).

Comment · 29 days ago
Comment · 1 month ago
Book 2, Capter 2 of Mere Christianity by C.S. Lewis explains the logical problems with dualism
Comment · 1 month ago
This is an interesting 4-part book review discussing the issues you mention: https://reknew.org/2015/04/must-we-deny-biblical-infallibili... (the verse to keep in mind is Colossians 1:15)

Though, be prepared: it may not be a sufficiently satisfying answer (but then… you have Isaiah 45:15)

Comment · 1 month ago
Christians believe that God has called them to live with concern for others, as he has loved them counter-conditionally. When they fail to do so, (everyone does!) on reflection they feel pangs on their conscience. So, on occasion they examine how they are impacting others and if they believe they are doing harm, they change their mind, resolving to avoid the error in the future. They often credit God with the inspiration (the language you keyed in on) because reflection and concern and changes of mind are all his design. You can argue with them: that’s just “doing theology”.

Live from the official Hacker News API

A modern reader for Hacker News · SvelteKit + Skeleton