Mapping the US healthcare system’s financial flows
Mapping Every Dollar of America's $5 Trillion Healthcare System
The latest blog posts to take off on Hacker News. 8,981 posts.
Mapping Every Dollar of America's $5 Trillion Healthcare System
Reader warning: there's gonna be a lot of pretend puke photos in this post. If you've fired up HBO Max recently, you've probably seen that o...
Looking at actual token demand growth, infrastructure utilization, and capacity constraints - the economics don't match the 2000s playbook like people assume
Revise and resubmit, Quarterly Journal of Economics
The healthcare market is taxing reproduction out of existence.
Though LLMs had a lot of promise, this has not been demonstrated in practice. The technology is essentially a failure, and a new AI winter is coming.
OpenAI and Nvidia are both under threat from Google; I like OpenAI’s chances best, but they need an advertising model to beat Google as an Aggregator.
Bricklink, LEGO’s biggest online marketplace and lifeblood of the LEGO community has made quite an alarming announcement. From 12 December 2025, BrickLink Marketplace will not be available for members in 35 countries around the world, which means that LEGO and Bricklink members will no longer be able to buy or sell on…
Why AI Won’t Save Your Broken Workflow
Aviation insiders say an airworthiness directive may soon require software updates across the Airbus A320 fleet after investigators linked a JetBlue incident—where the aircraft entered a sudden uncommanded descent—to a faulty ELAC computer. Any grounding is expected to be short and staggered, with airlines updating…
The machine learning community is finally waking up to the madness, but the detour of the last few years has been costly.
A friend made me aware of a reading list from A16Z containing recommendations for books, weighted towards science fiction since that’s mostly what people there read.
Listening is always hard, and it only gets harder at scale.
A year ago I decided to help build a service business for my mom because I wanted to learn about marketing and business. One of the largest blindspots engineers have is around sales and marketing. I was determined to not fall into this trap, but marketing seemed like a skill I couldn’t just learn by […]
Being "the enshittification guy" means that people expect you to weigh in on every service or platform that has been deliberately worsened to turn a buck. It's an impossible task (and a boring one besides). There's too much of this shit, and it's all so mid – a real "banality of enshittification" situation.
“These models somehow just generalize dramatically worse than people. It's a very fundamental thing.”
A couple of weeks ago, I decided to do away with my Netflix subscription. I simply was barely using it, and whenever I did it was more ou...
As I get older, I increasingly think about whether I’m spending my time the right way to advance my career and my life. This is also a question that your company asks about you every performance cycle: is this engineering manager spending their time effectively to advance the company or their organization?…
I’m not saying this will definitely happen, but I think we could be on the cusp of a significant shift in Windows market share for consumer computers. It is not going to drop to 2% in a year or anything, but I feel like a few pieces are coming
From chatbots to agents
It’s so easy
After building a software company to a multi-billion dollar exit, I made the jump to hardware. Now I’m working on carbon removal + steel at Charm Industrial , and electric long-haul trucking with Revoy . It’s epically fun to be building in the real world, but little did I expect that more than half the cost of…
In March 2024, Mozilla said it was winding down its collaboration with Onerep — an identity protection service offered with the Firefox web browser that promises to remove users from hundreds of people-search sites — after KrebsOnSecurity revealed Onerep’s founder had created dozens of people-search services and was…
How America Destroyed Its Cheapest Homes
tl;dr Don’t try to shake-down a typography nerd with your dubious, automated claims about his employer using unlicensed fonts. How it started It started with a LinkedIn InMail message (sanitised to protect privacy): Subject: [Urgent] Font Software Licensing Review Hi Ameel I hope you
Gary K Wolf is the author of a fantastic 1981 novel called Who Censored Roger Rabbit? which Disney licensed and turned into an equally fantastic 1988 live action/animated hybrid movie called Who Framed Roger Rabbit? But despite the commercial and critical acclaim of the movie, Disney hasn't made any feature-length…
I have recordings and emails showing attacks months before Coinbase's 'discovery'. Timeline, headers, and audio evidence.
By far the most popular npm package I’ve ever written is blob-util, which is ~10 years old and still gets 5+ million weekly downloads. It’s a small collection…
The very first LLM-based product, ChatGPT, was just the ability to talk with the model itself: in other words, a pure chatbot. This is still the most popular…