It’s the difference between single-payer systems run by the government and private, for-profit commercial plans. I’m happy to see this carried out on an executive level since an actual law regulating private insurance would be a shit storm in congress. Remove the profit motive from insurers and the shift quickly moves towards real-world evidence and health outcomes rather than profit margins.
Your body and mind is just a bag of chemical soup, undergoing a constant reaction. Your tangle of nerves and synapses feed a mess of neurons that are wired in a circuit that gives you that spark of consciousness. But none of this is a fixed system, and your body goes through constant change. As one neural pathway dies, another one is rewired and the circuitry is now different.
You can play the game of debating the Ship of Theseus, but who you “are” or “were” is just an illusion. Our memories are just the old circuits powering up, but even those change over time. Your memories are a false representation of the past because they only ever exist in the present and you’re at the mercy of your own perceptions.
You “are” until you are not. So do what feels good —Kiss your loved ones, hug a tree, and be kind to yourself and others while your bag of soup ain’t leaking.
I can also attest to hearing “eggs in a basket” and “toad in a hole” growing up. My son has just dubbed the dish “egg bread” and requested it almost daily. He also calls fried eggs “dip eggs” and boiled eggs “shape eggs.” He was probably 3 when he solidified these terms, but they have all stuck, 6 years later.
Obviously the insurance company actually dictates your healthcare and the prescriptions you receive, not your doctor. If you have great insurance, more physicians and treatments will be covered. Under insured is just having insurance that doesn’t cover your treatment.
Anytime a drug comes to market, manufacturers need to make sure drugs are covered by insurers. So, pharma companies go out to the “payers” (it’s what’s we call them at work) and vie to get a good position on the payer’s “formulary” (the list of drugs covered by insurance).
In this negotiation, you have things like “prior authorization” where the prescriber needs to make a case to the insurance company before a drug can be prescribed. There’s also different tiers for a class of drugs. This means the payers allow certain drugs to be covered only after a patient steps through other (cheaper) treatments. If it’s not covered, you can pay out of pocket but none of this shit is priced for an individual.
There’s a cold calculus on both sides where the pharma company has sunk $300 million to $5 billion dollars to bring a drug to market that can sometimes take a decade to go through clinical trials and receive FDA approval — they need to charge a lot to recoup their investment and hopefully become profitable. Meanwhile, insurers have a population they need to cover and a set pool of money and they don’t need a new $50,000 therapy when there’s a generic that will treat 80% of patients. The other 20% can jump through the hoops or get stuffed…
PSA from someone who works in the industry. Drug manufacturers offer “patient assistance programs” where people who are under insured or uninsured can receive treatments at a discount or sometimes free. They are not broadly advertised and I had no idea they existed until I started working in the space. Just search the drug + patient assistance or financial assistance.
Also to state the obvious... The US healthcare system is fucked — mostly insurance companies but also pharmaceutical companies and hospital systems in the US are all doing everything they can to increase their profits at your expense.
Meh, I opened Reddit just to lurk on the only subreddit I would post on. Recap for that community reminded me it was all one big circle jerk… but now with more advertisements.
I also hear people make the same claims against Alexa, but I usually start explaining what cookies are and how ad networks collects your data to more effectively target you. It doesn’t make fiscal sense to do mass audio surveillance when you already freely hand over your data.
Yep, I spent a month refactoring a few thousand lines of code using GPT4 and I felt like I was working with the best senior developer with infinite patience and availability.
I could vaguely describe what I was after and it would identify the established programming patterns and provide examples based on all the code snippets I fed it. It was amazing and a little terrifying what an LLM is capable of. It didn’t write the code for me but it increased my productivity 2 fold... I’m a developer now a getting rusty being 5 years into management rather than delivering functional code, so just having that copilot was invaluable.
Then one day it just stopped. It lost all context for my project. I asked what it thought what we were working on and it replied with something to do with TCP relays instead of my little Lua pet project dealing with music sequencing and MIDI processing… not even close to the fucking ballpark’s overflow lot.
It’s like my trusty senior developer got smashed in the head with a brick. And as described, would just give me nonsense hand wavy answers.
@rtfm_modular
@lemmy.world