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I wouldn't go that far with Epic. They always have some unadvertised module they try to push on hospitals the minute they want to interface with a third party.

HL7 is a massive farce. It is an impossibly large standard that's difficult to understand and rarely used for interoperability.

You would think that's the case but from experience it's not. I can name two hospitals in NYC that were supposed to see savings from EHR implementations but ended up having multiple competing EHRs that don't speak to each other because of conflicts of interest. You forget there in many cases there are many payors, tech vendors and providers within a single institution.

I didn't down vote you but here is the flaw. Rent typically trends upward with property values which eats away at a tenants ability to save. This is particularly true in markets like NYC, SF, LDN and HK where people are paying over 50% of their paycheck to rent.

You're not a responsible adult until you recognize debt is a tool. You can use the tool well or poorly but it is just a tool.

With the housing bubble there wasn't a good way to look at each mortgage or the borrowers ability to pay. In a lot of cases the mortgage data was falsified or didn't even exist. In the aftermath of the bust several banks could not produce any documentation on homes they wanted to foreclose on.

Transparency of housing sales isn't what allowed people to see the contractions and it certainly didn't keep the problem from getting worse. Massive numbers of defaults were the indicator. What kept the problem from getting worse was the government taking partial ownership of the major banks/AIG, increasing the FDIC limit and TARP.

That's a pretty hilarious statement considering the lack of transparency is what led to our own market crash.

I have a difficult time believing that stability is the main reason for the lack of integration. Admins have the ability enable/disable certain features. Throw a beta flag in front of the feature and say it's not supported.

I'm going to take a crazy leap here based on the commits. asm might not stand for what you think.

While most real estate agents are completely useless I don't believe the profession is useless. A good real estate agent knows everything about the area they service. What areas have bad reputations and crime scores but are perfectly safe? What areas have development plans in the works? What are the local laws and ordinances, how does that affect your purchase? How difficult is it to get permits for types of work? Are residents fleeing an area because of upcoming re-zoning that isn't well published? They'll have a vast network of trusted service professionals that can help you renovate. They will know little things like which HOA has unreasonable board members or which homes keep going up for sale because the next door neighbor is crazy.

On top of all that small but invaluable information a good real estate agent will make the process of buying your home smoother. I don't think many people have an appreciation for how difficult it is to manage a title company, the seller's agent, three attorneys, a loan officer and the bank. Contrary to popular belief it is not always in the best interest for them to all work together. In some cases one or several of those parties my have a vested interest in slowing the process down or killing the deal completely.

Yes, I should have been more clear. I meant both.

I have no idea what you think I said.

That's a lot to ask from a local government.

You say that like it's a simple thing, it's not. Here is a concrete example of what I mean. In NYC rent control/stabilization artificially limits the supply and increases the cost of non-stabilized units. If rent control was eliminated rental values across the city would plummet in non-stabilized units. As a result property values in non-stabilized buildings would plummet as well. You could easily trigger a panic as landlords try to sell off property that is declining in value. There are unintended side effects to changing laws, it's never as simple as just fixing a legal restriction.

There should be some limitations in place but how would you enforce them? If your local government checks Airbnb regularly to find people breaking the law then people will just use some other method to do the same thing as Airbnb.

It will remain true in places where there is limited supply due to geography or legal restrictions. Those also happen to be where a lot of major tourist destinations are.

This was inevitable and it is going to drive real estate sale and rental prices up dramatically in tourist destinations. I have relatives who own rental property in Key West, they used to sign year long leases and manage the property year round. With Airbnb they rent the same property 1 week each month and make more money than they did with the year long lease. Ultimately landlords have little incentive to rent to locals. Airbnb means they never worry about have to go to landlord/tenant court to evict and never have to worry about getting paid monthly.

You're absolutely right but that doesn't mean those small subreddits didn't have an impact, /r/fatpeoplehate and /r/imgoingtohellforthis were increasingly showing up on the frontpage.

Except it won't necessarily match their previous salaries. There are a lot of high 5 digit and low six digit incomes in the social services job hierarchy.

The problem is, when you scrap all of those programs you immediately create more unemployment. There are a lot of jobs supporting social services, the hard part is going to be finding a way to phase in UBI without wrecking the economy.

Other than the obvious brand association issues that's not really Google's problem. IIRC this is part of the reason why Google changed their licensing agreement to prevent forked SDKs. If you want to ensure you receive timely updates either complain to your phone manufacturer or buy a Nexus phone.

Yes, let's not celebrate human achievement and think about the positive possibilities, let's focus on the negative at every turn.

The cynicism is amazing.

I'm not sure what fossil fuels and nuclear weapons have to do with this but 1075 years isn't a very long time. There may not be intelligent life on the planet yet.

Around 2005 I worked for a fairly large company that did exactly what you're suggesting with Postgresql and it was a complete disaster. Have you ever tried implementing sharding with all of your business logic in stored procedures? Have you ever tried hiring people who understand pl/sql and WANT to work with it? I have done both and it is a nightmare, once you get to the point of having to shard data you end up in one of two places:

1.) The sprocs become insanely complex because they have to be shard aware.

2.) You slowly start moving more of your code that was in sprocs to your application so now you've got two problems.

As for hiring, put out an ad for an engineer with pl/sql knowledge better yet put out an ad for someone who wants to learn and use pl/sql. Good luck finding enough of those people to get any significant work done.

Whenever you hear any studies regarding robotic surgery, take it with a dump truck of salt. I worked at a hospital that was well known for robotic surgery and the surgeons are extremely hostile towards new technology of any sort. Any technology that has the potential to threaten their jobs in the future will have the severe bias in patient selection. The issue with these studies is the people who run them have a vested interest in ensuring that they do not show positive results.

I'm not saying they are, I'm just telling you that's what they are doing.

Because they know it will take time for the law to catch up with them. In the meantime they profit and get the public to demand their services. There are two ways to get what you want, Ask for permission or ask for forgiveness.

I've gotten a lot of hell for saying this but the poor don't rise up because the floor in the United States is typically not starvation. Social services are not to help the poor, they are there to make sure the floor in the US is high enough that the poor don't rise up against everyone else.