in US Healthcare, prices aren't an indication of quality at all.
instead, prices are a ransom note determined by administrators
they are most definitely not a proxy for quality--which is what you'd expect in a free market--but rather a proxy for how much the hospital system thinks they can get away with
the govt shutdown is over healthcare expenses...good. way overdue to point the spotlight at this wasteful fiat system.
crazy part is, this isn't even the most fcked up part of the US healthcare system!
PMOs were supposed to give small pharmacies leverage. Now they’re just another layer in the stack.
Most of the big ones are owned by wholesalers anyway, so “choice” usually means picking which middleman you like.
Three wholesalers and three PBMs control almost everything. The PMOs just make it look plural.
Joining a PMO is survival math. Opting out isn’t brave—it’s financial suicide. It’s not a legal monopoly. It’s a network you can’t afford to leave.
Independents didn’t get crushed—they got slowly absorbed under “management services.” “Independent pharmacy” is now more of a tax status than an actual business model
i think the classic 80-20 rule applies here
not being a slave to lust is a key low preference hack for young men
you don't realize how boring most women are if you don't project onto her your own desires
cant sleep. tinnitus. send help 🥺
I tried out ngit for the first time the other day and was quite impressed. you go into one of your repos, define a nostr remote, authenticate your nostr identity and ngit cli will automatically upload your entire repo onto relays! actually wild. congrats nostr:nprofile1qyt8wumn8ghj7etyv4hzumn0wd68ytnvv9hxgtcpr4mhxue69uhksctkv4hzuerpde3k7mnhv9ukgetk9e3k7mf0qqs2qzx779ted7af5rt04vzw3l2hpzfgtk0a2pw6t2plaz4d2734vnggapffr
its a localized chat app that uses bluetooth rather than the internet to chat. useful for loud spaces like concerts/bars imo
nostr:npub1pmzqdtnlucxkppnnw747hgyf5afx39zrc385me50f75d3kkumkvsqwwv55 hello hello again...
nostr:npub1pmzqdtnlucxkppnnw747hgyf5afx39zrc385me50f75d3kkumkvsqwwv55 yooo
hello nostr:npub1pmzqdtnlucxkppnnw747hgyf5afx39zrc385me50f75d3kkumkvsqwwv55 👋
humans are greedy... $115k is fine. remember where we came from
$115,000? Back to work! 😭
https://blossom.primal.net/67d3cd21d20d39f0e95f75f3a0845067e8e6c9867e9401f3ddced4badc214c29.mov
its back to work time *cracks whip*
"would you like fries with that?"
nostr:nevent1qqsdfza80s4nenhcss8kawyrx00a9d9uq67ff7z5k2f8564vydu9vlqppemhxue69uh5qmn0wvhxcmmvculewl
woah are there a lot of bots on nostr or what
vibe coding is insane, you can one shot an entire feature just by describing it properly. key is you HAVE to be precise though