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allcentury

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github.com/allcentury

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Manual testing as the first step… not very productive imo.

Outside in testing is great but I typically do automated outside in testing and only manual at the end. The loop process of testing needs to be repeatable and fast, manual is too slow

I loved this article, thanks for writing it.

I attempted playing a few world cyber game US regional matches and I was always amazed how much faster everyone else was. Then I remember when they live streamed it from Korea and I saw how fast they played and I was blown away. From a strategy point of view, something so basic about the game that I missed was when a blog introduced me to some math for a protoss zealot power up that defeated a zergling in 2 hits rather than 3. That's when I realized this is a chess game and I got hooked.

The limit of residency slots is in the article.

A much more sensible system would to make medical school free so that the salaries don’t have to start off so high.

That's not how any labor market works. Your salary isn't determined by how much debt you rack up. Doctor's salary's are high because the supply of doctor's is so low (especially primary care).

The article covers all the points you're debating (much better than I).

It took me a long time to realize that these weren't CoL adjustments.

Companies want to be competitive in your local market so they can retain you and so they can "hire the best".

Where this gets murky is now everyone is remote so is there really a local market?

It's so hard to prioritize tech debt and usually those cards only come back to the conversation when it blocks a new feature or causes a big bug.

Now as a manager, when new work comes in I ask my team if any solution for the new feature would allow us to also pick away at any of the tech debt cards. There is usually always a few and we plan it into the deliverable timeline.

I had the same thought:

Sell this product to insurance companies so they can recommend cheaper/safer drugs to their customers, or show the more expensive one and if it truly had better outcomes. Everyone benefits from that.

That said, the medical establishment is a tough tough domain to move.

In my neighborhood, on a dead end street we would make cars wait while a hockey play was in flight. One more second please Mrs. Stevenson!

That same street is a ghost town not really because of cars but two things. 1. Empty nesters didn't move out and 2. The kids that are there would rather be in front of a screen then wonder outside.

If you saw a kid outside you would jump out the door and play. That doesn't happen like it use to.