Do you know how much it affects your deep sleep duration?
People who drink caffeine at night may claim to be able to sleep still, but they will find that deep sleep stages are shorter, which is significant because it may be the most important type of sleep.
Mexico already has “universal healthcare.” The public hospitals are so bad and chaotic that most people who can afford to pay private insurance so they can go to private hospitals.
The article doesn't state explicitly, but I guess this new decree changes the qualifying rules. For example, that even if you have private insurance, you can still access public healthcare facilities.
I don't see how this is going to work unless they also improve the resources to the public facilities.
Without knowing much this seems kind of reasonable? Some baseline of care but not enough that most people will opt it.
If I could make universal healthcare in the US it would be something like:
- free generic meds where there are at least 3 independent low cost providers.
- free ai diagnostic tools
- tax breaks on healthcare spending
- catastrophic insurance @ fixed prices for various diseases (eg if you get colon cancer you get $30,000 for treatments. Basically whatever the low end of reasonable is, to invent you to price shop etc.). These numbers should keep being adjusted down over time as people get more efficient at treating.
- maybe up to $400 per year on various preventative tests.
And remove most other regulations on healthcare (including banning employer insurance).
If the government provided this, the cost for private healthcare would plummet. People would have free access to diagnostic and drugs better than anything you had 20 years ago (2006). Which is pretty incredible!
> if you get colon cancer you get $30,000 for treatments
And… what if its not enough?
But yeah, extreme inefficiency and inflated costs due to poor regulation seems like the main issue in the US.
It’s not however obvious that less regulation would solve that, i.e. you have countries like Switzerland or the Netherlands with entirely privatised healthcare (more so than in the US) yet they have quite strict regulation and price controls and are doing just fine.
It's a lot easier to cover a country the size of Norway with heli trauma than the United States. So let's not pretend that is even an Apples to Apples comparison.
Also, culture and health makes a big difference. Also, the number of people living off the government fully vs. taxpayers makes a difference.
While I appreciate the excuse making, the fact is the US is by far and away the richest country to have ever existed, and the average citizen has a much lower quality of life than those in much poorer countries.
It’s a disgrace. Anything else you say is a weak excuse.
It's not really entirely privatized if there are price controls. And at least in Switzerland, healthcare price inflation is a big topic like everywhere.
But Swiss pharma price controls are not very populist. We basically use the communist approach of stealing prices from less regulated markets. The FOPH looks at international prices in "comparable markets" to help decide what the Swiss prices should be. Not sure which markets are comparable but surely the US is one. So if prices go up in less regulated markets, they go up here too.
There is still a lot of waste and healthcare costs too much. It is high quality but I am often impressed by how much low hanging fruit there is to save money apparently without harming the quality of care delivered.
Some of the items and services Medicare doesn’t cover include:
Eye exams (for prescription eyeglasses)
Long-term care
Cosmetic surgery
Massage therapy
Routine physical exams
Hearing aids and exams for fitting them
Most dental care: In most cases, Original Medicare doesn't cover dental services like routine cleanings, filings, tooth extractions, or items like dentures.
I rely on Medicare as a disabled person. I love it. The reduction in stress I experienced when I got to transition from my former employer plan to Medicare is pretty indescribable. I want every American to have at least this as a baseline.
Most of the complaints around Medicare come from those who get sold (conned) on takin Medicare “Advantage”, which is a privatized option for Medicare that denies a lot of coverage.
IIUC, the difference (for USG) of Medicare vs Medicare Advantage is that Medicare subsidizes the cost of a procedure done by a provider while Medicare Advantage (MA) pays a fixed rate per treatment to an insurer.
So if the MA rate is less than the provider changes then the insurer is highly incentivized to deny you coverage. While for Medicare you'd have a higher co-pay.
This also leads to scenarios where MA insurers upcode patients so that the treatment is at a higher rate [1]. (ex. Marking patients as recovering drug addicts when prescribing opioids to get both money from both counseling and the opioid treatment).
Just as a data point, depending on a country of course, the European public healthcare systems don't cover some/most/any of these either.
For example the eye exams for glasses are usually done at the store where you buy the glasses and included in the price, dental might be covered only for children, routine physical exams may not exist as a concept, etc.
> My bad. I used that as a stand in for a single payer system like Medicare. Good idea, yes? Or do you object to that?
My objection to that is putting too much power over healthcare in the hands of the Federal government ends badly when someone like RFK Jr is in power in the Federal government.
My ideal is closer to the German system, with state-level public options which preserve private insurance.
“We found that the phenomenon described in these posts—cognitive exhaustion from intensive oversight of AI agents—is both real and significant. We call it “AI brain fry,” which we define as mental fatigue from excessive use or oversight of AI tools beyond one’s cognitive capacity.”
I've never experienced a miracle, but I'm surrounded by people who claim to have seen one or know somebody who did. I'm still waiting for mine.
I met with a supposedly realized Buddhist master in a monastery in Nepal and asked him if he had ever had a supernatural experience (Buddhist cosmology has many stories about enlightened people flying, walking through walls, etc). At first he had difficulty understanding the question (the translator seemed to have difficulty finding the right words). Finally he replied with a blunt “No.” But then amended that with the inconclusive statement, “If a supernatural event occurred, by it existing, it would immediately cease to be supernatural because there would be some explanation for it.”
You should have replied, “yes, there may be an explanation, but the explanation could be beyond all human understanding”. That would be “super” (the explanation siting in the superset , where our understanding is just another set in the superset).
I accidentally clicked the Claude Cowork button inside the Claude desktop app. I never used it. I didn't notice anything at the time, but a week later I discovered the huge VM file on my disk.
It would be really nice to ask the user, “Are you sure you want to use Cowork, it will download and install a huge VM on your disk.”
Same. I work on M3 Pro with 512GB disk, and most of the time I have aroung 50GB free that goes down to 1GB often quite quick (I work with video editing and photos and caches are agressive there). I use apps like Pretty Clean and some own scripts (for brew clean, deleting Flutter builds, etc). So every 10GB used is a big deal for me.
Also discovered that VM image eating 10GB for no reason. I have Claude Desktop installed, but almost never use it (mostly Claude Code).
The README claims “Full feature parity with pi,” but I presume pz does not support pi’s extension/package ecosystem (because they’re all writted in TS and so would require bundling node/bun) – is that correct? One of the highlights of pi is its extensibility; if that’s not possible with pz, it should be clearly stated as a goal/nongoal.
I just learned yesterday that ChatGPT (and maybe others) can’t connect to a MCP running on localhost; it needs an endpoint on the public internet. (I guess because the request comes from OpenAI servers?)
I’d rather not expose a private MCP to the public, so ContextVM sounds like a step in the right direction. But I’m confused about how it is called: doesn’t OpenAI’s servers still need you to provide a public endpoint with a domain name and TLS? Or does it use a Nostr API?
Interesting, I didn't know about that. It could be for security reasons or to lock users into their platform tools, but it seems odd.
If you can still connect to a stdio MCP server, you can plug it into a remote MCP server exposed through ContextVM. You can do this using the CVMI CLI tool, or if you need custom features, the SDK provides the primitives to build a proxy. For example, using CVMI, you could run your server over Nostr. You can run an existing stdio server with the command `npx cvmi serve -- <your-command-to-run-the-server>` or a remote HTTP server with the command `npx cvmi serve -- http(s)://myserver.com/mcp`. This makes your server available through Nostr, and you will see the server's public key in your terminal.
Locally, you can then use the command `npx cvmi use <server-public-key>` to configure it as a local stdio server. The CLI binds both transports, Nostr <-> stdio, so your remote server will appear as a local stdio server. I hope this clarifies your question. For more details, see the documentation at https://docs.contextvm.org. Please ask if you have any other questions :)
People who drink caffeine at night may claim to be able to sleep still, but they will find that deep sleep stages are shorter, which is significant because it may be the most important type of sleep.
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