3.27

How did this work? In brief, Europe’s political fragmentation spurred productive competition. It meant that European rulers found themselves competing for the best and most productive intellectuals and artisans. The economic historian Eric L Jones called this ‘the States system’. The costs of European political division into multiple competing states were substantial: they included almost incessant warfare, protectionism, and other coordination failures. Many scholars now believe, however, that in the long run the benefits of competing states might have been larger than the costs. In particular, the existence of multiple competing states encouraged scientific and technological innovation.

Commentary on iPhone cameras

Asia travel notes.

What Data Do The Google Dialer and Messages
Apps
On Android Send to Google

Plus, the black mark on their files means they often can’t get a contract with more favourable fixed rates.

When the device is installed, a stove or anything else requiring 240 volts of electricity won’t work.

Load limiters allow for continued operation of a furnace, a few lights and small appliances (but only one at a time). If too much electricity is used at once, the limiter will trip — turning off the power all together, until the meter is reset physically by the client or remotely by the distribution company.

There are many players in the field – Epic, Cerner, Meditech, AllScripts, AthenaHealth, to name a few. It isn’t necessarily bad to have many players, but these players don’t cooperate in data interoperability, as they see the difficulty of data migration as a competitive moat. (Taxpayers have lavishly subsidized electronic medical record sales)

Hacking Google Maps to fake a traffic jam.

You don’t write the code for the machines, you write it for your colleagues and your future self (unless it’s a throw away project or you’re writing assembly). Write it for the junior ones as a reference.

The Americans came up with a solution: issuing debt to bring the dollar back to the U.S. The Americans started to play a game of printing money with one hand and borrowing money with the other hand. Printing money can make money. Borrowing money can also make money. This financial economy (using money to make money) is much easier than the real (industry-based) economy. Why will it bother with manufacturing industries that have only low value-adding capabilities?

The complete list of alternatives to all Google products

The manager of Blue Origin’s rocket engine program has left the company

Why big nations lose small wars: The politics of asymmetric conflict.

Google routinely hides emails from litigation by CCing attorneys, DOJ alleges

Understanding U.S. values and psychology are not his strong suits. Nor has understanding Russian history and psychology been a strong point of U.S. policymakers.

“When I first noticed the airbrushing on the segment referenced, I thought something was honestly wrong with the video. But then, I watched it again and thought, ‘Wait a minute, this appears to be intentional. Lia’s features are softened,’” Denhoff said. “I then went to my original photo, on the sites that they could access to license the photo, and compared it and immediately saw a difference.”

NCLA Takes on U.S. Surgeon General’s Censoring of Alleged Covid-19 “Misinformation” on Twitter

You can dine and shop well enough in the La Brea district of Los Angeles to forget that its name translates as “tar”. You can savour the treasures of the LA County Museum of Art and ignore the lake of gurgling black goo in the park outside. You can decide against the La Cienega route to LAX and avoid the sight of oil derricks, bobbing up and down like perpetual-motion executive desk toys. In the end, though, even in California, home to the disembodied economy of tech, the coarse physicality of the energy sector is inescapable. And so, ever more, in all our minds, is its importance. The war in Ukraine has put paid to a series of fantasies. No, Germany cannot opt out of History. No, it is not butch to tweet adoringly about a strongman you don’t have to live under or near. Yes, the EU is a dream, not an ogre, for tens of millions of people in its near abroad. Of all the illusions, though, the most quietly punctured is the idea that tech is the industry at the centre of the world: the one that makes it go round. Energy, it turns out, is still a worthier bearer of that mantle. This is an education for anyone born in the half-century since the Opec oil crisis.

The Ultimate Guide to Onboarding Software Engineers

The optimism, however, is the assumption that allowing the war to keep going will necessarily undermine Putin’s position; and that his humiliation in turn will serve as a deterrent to China. I fear these assumptions may be badly wrong and reflect a misunderstanding of the relevant history.

For more than forty years, I struggled to get decent health insurance. My first grown-up job, as a fact checker at a weekly magazine, came with a medical plan, but my wife and I were in our early twenties and therefore didn’t think of that as a benefit. My take-home pay was less than the rent on our apartment, so I quit to become a freelance writer, and for months after that we had no insurance at all. Then my wife, Ann Hodgman, got a job at a book publisher. When our daughter, Laura, was born, in 1984, Ann’s policy covered most of the cost of the delivery.

He began by going to an important center in his industry and becoming an understudy to a master practitioner. Rural Haiti is to health vulnerability what Silicon Valley is to tech innovation. In his early 20s, Paul went there to work for Fritz Lafontant, a Wozniak-like Haitian priest pioneering a community-based approach to the social determinants of health.

Possessive Posturing: Mine is Yours and Yours is Yours

Federal electronic medical record data sharing rules have been released, many years after the $38B+ federal taxpayer backdoor subsidy, which promised “interoperability”.

David Wahlberg:

Rick Pollack, CEO of the American Hospital Association, said in a statement Monday that the final ONC rule fails to protect patient information. “The rule lacks the necessary guardrails to protect consumers from actors such as third-party apps that are not required to meet the same stringent privacy and security requirements as hospitals,” he said.



Nick Hatt, a product designer at Madison-based health care data-sharing company Redox and a former Epic employee, said Epic “didn’t really get very much in the final (ONC) rule. The content did not change substantially, so it was kind of a win for the patient-access side.”


The rule requires full exports of patient data, beginning in three years, to patients or hospitals if requested, Hatt said. “You’re being asked to develop something that helps your customers switch from your software to someone else,” he said.


Also, screen shots of electronic medical records will become more public, which Epic didn’t want, Hatt said. “They really don’t want to have screen shots of their software out on the internet, and now essentially it’s illegal for them to put those kinds of clauses in their contracts,” he said.


But the scope of data that must be shared will be limited for two years, and companies such as Epic will be able to warn patients about the dangers of sharing data with third-party apps — changes that were in Epic’s favor, Hatt said.


The rules apply to scenarios such as patients wanting to share clinical data and check lab results with Apple’s Health app, Hatt said.



Epic has said the proposed ONC rule could threaten patient privacy and intellectual property, and increase health care costs. CEO Judy Faulkner urged customers to support a letter in opposition to the rule. More than 60 health system CEOs, including those at UW Health, UnityPoint Health-Meriter and Gundersen Health System, signed the letter sent in February to HHS Secretary Alex Azar.

Related:

1. Paying – Repeatedly – for Epic’s Walled Garden

2. Airdrop trumps $40B Taxpayer Medical Record Subsidies.

3. Madison’s Property Tax Base Growth; $38B+ Federal Taxpayer EMR Subsidy.

4. $37,920,077,070 in Taxpayer Electronic Medical Record Subsidies: 2009 – January 2018

5. Epic Electronic Medical Record Implementation: $100,000,000 for Stanford Hospital in 2005.

6. Epic Systems Clearing Storm Landscape Images.

7. A failed 2007 attempt to use Wisconsin taxpayer funds for electronic medical record subsidies.

7. More notes and links on Epic Systems and its founder: Judy Faulkner

8. Federal electronic medical record data sharing rules: 474 page pdf.

HealthIT is terrible. That’s good news.

Dave Chase:

I know of no industry where technology is as despised as it is in health care. It’s a statement that it took government money to incentivize healthcare providers to finally do what virtually every other industry has done — apply IT to streamline processes. “Established technology is being given a federally funded new lease on life,” athenahealth CEO Jonathan Bush said. “Traditional health software now is on Medicare, being kept alive like grandma.” Bush dubs this program as the “cash for clunkers” program for health IT leaving no doubt what his opinion is regarding the legacy vendors’ solutions.



While one might dismiss this coming from a company with a dog in the fight, the feeling is nearly universal amongst physicians who are the most important users (besides patients who are almost completely ignored). The best evidence of how abysmal legacy healthIT is, is that the market leader is having trouble getting medical practices to adopt their software even with huge subsidies from large health systems. In the course of discussions with large health systems, they share the deployment of a mega Electronic Medical Record (EMR) and how they were offering subsidies to affiliated doctors to adopt the same system. When pressed about how broadly it was being adopted by non-employee physicians (i.e., MDs who have a choice), the penetration was staggeringly low — 0.2% was the average of those who shared figures. This was despite the fact that they were subsidizing 85% of the cost (the maximum allowed by Stark Law).



When I’ve spoken with doctors who have rejected the entreaties from their affiliated health systems, it’s more than the expense (even after a massive subsidy, it’s still several thousand dollars plus monthly costs). Rather, the complexity and lack of user friendliness is the bigger driver. A common statement one hears in healthIT conversations is that doctors hate technology or are afraid of it. Hogwash. They only hate bad technology. Consider the iPad. Doctors are one of the biggest buyers and it’s not just young doctors.