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It seems like being able to do this sort of thing. And being able to make government payments to people that must be spent (use it or lose it) and only on approved things are the big motives. Control.


An annual checkup is one of the certain preventive measures and the Aca does require it to be covered with no cost sharing.


But the second you mention some new issue that’s cropped up, it no longer coded as an annual checkup and you will be paying.

The only way to guarantee a free annual checkup is to go in, say nothing about your state of health, let the dr take your vitals and leave.


Is this universal?

In previous annual checkups with my primary care doctor, I have mentioned symptoms as varied as:

- recent depression

- trouble breathing

- irregular heartbeat

several of which resulted in follow-up appointments / lab work, but all of which were still covered 100% as annual checkups.


Do you have an ACA plan or employer provided insurance??

If you can find a doctor that takes your ACA plan then anything other than checking for a pulse is likely to result in some sort of bill.


Employer subsidized plans are also mostly compliant with ACA. Based on the trends in figure 13.3, I might even say less than 10% of Americans with employer subsidized health insurance are in non ACA compliant plans.

https://www.kff.org/report-section/2018-employer-health-bene...

And I have never had a doctor not accept an ACA compliant plan, which have been in the BCBS network for me.

This website seems to have a decent summary of coverage rules:

https://www.verywellhealth.com/aca-compliant-health-insuranc...

https://www.verywellhealth.com/preventive-care-whats-free-wh...


I don't mean ACA compliant. I mean actually purchased through the exchange, a.k.a Obamacare.

If your employer provided insurance it's good insurance, that's the perk of working there and part of your compensation.

If your employer doesn't provide it you have to buy during open enrollment through the exchange and the plans are terrible and expensive.


Of course, billing is by procedure done.

If you bring up a complaint, it's no longer a preventative check-up, it's addressing a complaint, which has a different billing code and different reimbursement.


Nope. The ACA doesn't classify annual checkups as preventative measures for adults.

https://www.healthcare.gov/preventive-care-adults/


I thought #4/5/15 effectively make it an annual check up.


Because they get paid more when people are diagnosed with conditions.

https://www.nytimes.com/2022/10/08/upshot/medicare-advantage...


"The dawn of conscious machines will introduce vast new potential for suffering in the world, suffering we might not even be able to recognize, and which might flicker into existence in innumerable server farms at the click of a mouse."

https://en.wikipedia.org/wiki/I_Have_No_Mouth,_and_I_Must_Sc...


dimensional modeling seems to be a waste of time in many cases, when the end user just wants a flat table they can drop into excel or into a data frame to do some eda/modeling.

if it makes it easier for the data warehouse team to build a kimball model and then put views on top of it to deliver the flat tables, or it works better to build a kimball model because you're going to set powerbi on top of it, fine.

for most data analysts, data scientists, etc. stopping at a dimensional model just leaves them needing to put the pieces together themselves.


I didn’t see any data science in that demo.


1password


1Password is the best password manager I've used, and the family plan works great and is reasonably priced ($60/year). Unlike many folks who are cloud-averse, I prefer a cross-platform solution that syncs to the cloud, and I'm comfortable with their security model (https://support.1password.com/1password-security/).

It's worth noting that they really fubared the 1Password 8 transition and I was very irritated that they had me looking at alternatives. However, they gradually fixed the problems and missing features and now I'm 100% satisfied with it again.


> “It's worth noting that they really fubared the 1Password 8 transition”

I’d never use 1Password again. While the software may be good when you try it, I’m sure they will ruin it at a later date. That was my experience. The company earned my enmity.


This. Hands down.

The downside is that is cloud based.


1Password is making choices for the business at the cost of security. Sucking people's password vaults into their cloud is very not cool. Additionally removing the local vault only option is another business first decision.

It's only a matter of time before 1Password has a real security problem because the business forces at 1Password appear to be much stronger than the engineering forces.


1Password is E2E encrypted no with decryption/encryption happening only at the edge? If the cloud storage is compromised, that doesn't mean the attacker can read the passwords?


If 1Password controls the storage and the access, that is a different architecture than 1password controlling the access but not the storage.

They gave me the choice, and then they took it away so they could make more money, directly at the cost of security.

They want to add telemetry: https://news.ycombinator.com/item?id=35691383

It's a march of small concessions and after 5 years of marching you find yourself very far away from where you thought you were. "We only collect things that don't matter to you, trust us."

They are taking money: https://news.ycombinator.com/item?id=29993961

That means that that shareholders can make the company choose things that benefit shareholders at the cost of customers. Taking investment is a fundamental change in trust architecture.

I no longer believed that 1password is aligned with me, and alignment is a constant force always acting. Removing local vaults was proof of lack of alignment. Removing local vaults was proof that 1Password will choose money over security. Removing local vaults was proof that that appearing worthy of trust is a lower priority than coercing people into their cloud.


No but it means a fake 1P login page can be served and that will result in some non-zero number of people who didn't have a choice on a local sync having their credentials compromised. I am a huge 1P and I think their whitepapers show off their top-tier talent in the crypto space but killing local sync was a very crummy decision.


Conversely: I have zero interest in managing the storage of my own password vaults. It's a trade-off I'm willing to make for convenience and durability.

By way of example: I recently moved overseas, and in the process I wiped my desktop and moved to a laptop-only setup. Unfortunately, I managed to back up an outdated Adobe Lightroom catalog, not my current catalog, so I lost about two years' worth of catalog data -- including Lightroom edit histories. Yes, this is obviously a mistake on my part, but I recognise that I make these mistakes, and I'm willing to trade some loss of privacy and security for a significant decrease in a different risk profile.

Removing a local option is shitty, but there's nothing wrong with providing cloud-based storage.


Almost everyone who was doing local storage put their vault in dropbox or something similar.

The problem isn't their offering of their custom cloud storage solution, but them forcing it upon people who were happy with the current state.


To be fair to 1p, they’ve got a great track record with cloud security.


I have to agree. Been using it ~5 years with no issues. There may be application specific reasons some other manager is better, but for an easy to use and seemingly solid product, I'd recommend 1password.


1password has a great UI imo. and they now support ssh keys as well (albeit a bit strangely, but at least they do).


I came here to say this.

I've used 1password for 16 years and it is SOLID.


kindle scribe. I'd buy an onyx for the full android experience, but I don't trust the shady chinese servers / software you would need to use with one of those.


Why would I use this instead of tools built into gcp/azure/aws? E.g. azure ml studio, sagemaker, etc.


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