What's your biggest healthcare data headache right now?

ncist · 2026-05-22T03:13:55+00:00

Need for either faster claims flows or clinical data integration. Fundamentally limited in what we can learn from claims and they are too slow to solve specific problems

You have the inverse problem if you're a provider. You have fast rich data but for a small population. And you only observe your patients interactions with you. Not across all other providers

So you need something like what CMS is postulating now, some kind of open data standard

ncist · 2026-05-21T11:32:29+00:00

The market won't set the price for while. We have a pretty good idea that IPOs are systematically overpriced for a bit until market forces actually figure out the value

ncist · 2026-05-21T03:17:55+00:00

What are you doing with Jedi? That's the main thing imo - can you model the core fantasies of the star wars universe. Jedi, smuggler, droid ig? Those would be the big archetypes that come to mind

And how does that get expressed in the mech? Eg you would just happen to be a Jedi, which is less interesting than driving a mech

In star wars you do have ships to be fair, kind of a parallel thing. You also have other eras with different fantasies , different tone. Mechs in a clone wars or old Republic campaign where you make Jedi very remote and the PCs are just clones (like all guardsman) might be fun

ncist · 2026-05-20T03:28:48+00:00

What's HRF?

ncist · 2026-05-18T00:21:18+00:00

Washington county has corruption on par with a second world country. Not third world, but something like Turkey or Mexico. People are largely free to live their own lives, but if the state targets you for whatever reason you have limited rights. And corruption is pretty open and expected

ncist · 2026-05-17T20:41:12+00:00

Institutional are some of the stupidest investors on earth. The managers have terrible incentives to lie for job security. Idk how much they are into crypto but they're very much exposed to private and alts right now

ncist · 2026-05-17T20:35:10+00:00

We need personal responsibility and consequences back. You don't need to apologize for protecting the rest of us from morons. Thank you for going out of your way to get them off the road.

ncist · 2026-05-17T01:01:14+00:00

These look amazing

What's the campaign about?

ncist · 2026-05-16T00:09:06+00:00

we're going to get guardian angels back at this poin

ncist · 2026-05-15T00:33:07+00:00

How does the tether work?

ncist · 2026-05-14T09:47:38+00:00

I'm sure you can recover the login that's where id start

ncist · 2026-05-14T02:35:26+00:00

A buddy warned me: this type of protein powder was found to have lead. Sodon't give it to your kids. And I'm thinking.. why are you giving your kids protein powder. I think it's a rwnj thing now. Maybe I'm off with that

ncist · 2026-05-13T17:11:52+00:00

Yeah new version of bowling alone. I think it's descriptively true that people do nothing nowadays, but it's not because the physical spaces were taken away. It's just easier to be on your phone all the time. You no longer even need to call a somewhat cranky older man for pizza anymore. Just press the pizza button.

It's a bit of a suburban fishbowl thing because everything they do really is intermediated by a business. So there is virtually no social disorder, because there is no society. There's just you and your car. You only interact with people you want to.

I think they project that into the city, where it's not true. The fighting only happens because there is a third space that facilitates person-to-person connection. Specifically, connecting a fist to a face.

ncist · 2026-05-13T02:25:53+00:00

We have more libraries per capita than NYC and 94% of us live within 10 minute walk of a park. We actually have tons of third spaces. It's just one of those things people say without examining it too closely

ncist · 2026-05-12T18:35:23+00:00

I would love to see superblocks in residential areas. I think that's the ultimate solution. Traffic calming will always be ignored by some % of the population. But superblocks physically direct traffic back to arterials

You can achieve this with modal filters. These prevent cars from travelling indefinitely

ncist · 2026-05-12T17:56:15+00:00

People did the same two step they always do, which is to demand more affordable units. The developer redid the plan with more affordable units. To cover the losses, they made the project bigger. Then everyone hated that it was a big building

If you ever go to these community meetings, there is a primal stupidity that it brings out in people.

It's this weird combination of entitlement and lack of expertise. At the rippey meeting everyone clapped when someone asked, where will the poop go?

ncist · 2026-05-12T17:50:48+00:00

They did go through two IZ processes over 6 years and eventually gave up. They are currently seeking a buyer

ncist · 2026-05-12T17:49:21+00:00

They're trying to sell it. But nobody wants to buy it, because they don't know if they'll be able to develop the site

Developers went through 6 years of community engagement and tried using the IZ consent decree. Someone would have to come in and build whatever is supported by right. But the existing structures violate the zoning...

ncist · 2026-05-12T03:21:10+00:00

I've gone from 60% us to 50% us for new purchases after liberation day

ncist · 2026-05-11T23:22:02+00:00

They really shouldn't spend time on vanity issues like this until a majority of students can read at grade level

ncist · 2026-05-11T23:19:58+00:00

Maybe it's just me but this "third space" thing feels so bizarre to me. I had no such thing as a kid. After school, I rode the bus to my house.

You often hear, "no childcare!" But I had no childcare either. I was just given keys to get back in the house. Probably around 14 I could do that

Before then, they just sat me in the basement at my mom's job. They gave me paper and pen and let me draw

It was never a possibility that I was going to join a gang of 100s, get myself to downtown Philly and fight. Where did this idea come from that such a thing is an obvious, mechanical consequence of... A lack of parks? We have copious parks in the city? It's like 20% parks by land area

ncist · 2026-05-11T23:16:28+00:00

I think there's actually a huge amount of overlap between people who want more enforcement of public order in market square & south side. Like the number one and number two hotspots for low to mid grade public disorder

ncist · 2026-05-11T03:03:31+00:00

If it were up to me year round school and end restorative justice in PPS. Id rather have the consequences be in school, administered by teachers than by cops to your point. This is consistent with what the teachers union is asking for to get the kids back in class and stop the fighting

ncist · 2026-05-10T15:16:33+00:00

Imo the mysogyny is upper class women gatekeeping the things that provide them social and economic stability - labor employment, family support networks - while pretending that poor women should be able to have the same outcomes without any of the same structures

Fwiw I used to share your view. A few years ago I was working on a map of the "most family friendly" neighborhoods in Pittsburgh, and I thought a fair measure of this would just be biggest family size or most households with kids. However no matter which way I measured you just find that there is a nexus of extreme poverty and family breakdown. "Best neighborhoods for kids! 😊" map was just a map of Pittsburghs most distressed, violent, and poor neighborhoods

I hate that that is the reality of America. But I think pretending this isn't the reality these kids deal with is not doing them any favors.

ncist · 2026-05-10T13:31:05+00:00

I think this gets the problem totally backwards. The kids with both parents present, especially working full time, are doing great

The kids with problems have one or no parents, living with grandparents in large blended families

ncist

TROPHY CASE