×

Announcing: Slashdot Deals - Explore geek apps, games, gadgets and more. (what is this?)

Thank you!

We are sorry to see you leave - Beta is different and we value the time you took to try it out. Before you decide to go, please take a look at some value-adds for Beta and learn more about it. Thank you for reading Slashdot, and for making the site better!

Comments

top

Ask Slashdot: Package Redirection Service For Shipping to Australia?

unkiereamus Freight Forwarding experience. (206 comments)

I know nothing for about them specifically for Aussielandia, but from my experience with forwarders when I was living in Honduras: First, you might actually want two different forwarders, one who does air service and one who does ship service. Generally, air service for small light things you want fast, and sea service for everything else, usually you're paying a nominal monthly fee, then a per item fee for packages, the per package fee can be quite high for air, and is usually almost a (low) flat rate for sea.

Second, you are almost certainly going to be paying import duties, but the forwarder should take care of all that and roll the price into the price for the package itself.

Third, there's going to be breakage, it should be relatively rare, but it will happen, I had no choices for insurance on the forwarder, you might. It's probably pretty exorbitant, though. When it comes to moving something delicate and expensive your options basically boil down to hand carry it in your carryon when flying back, or go ahead and pay the extra money to buy it there and let the retailer deal with the possible breakage.

Finally, just spitballing here, and I have no idea how practical it might be, but you might want to look to japan for your cutting edge electronics, I've always had the impression that they're more available and cheaper there than almost anywhere else.

1 year,25 days
top

How Kentucky Built the Country's Best ACA Exchange

unkiereamus Re: What is an ACA Exchange? (333 comments)

And that is almost exactly how that works. Although I'll note that 1) the basic minimum amount of time for a call is more like an hour, once you factor in dropping off the pt,restocking, cleaning and most of all, paperwork. 2) the supplies can be exhorbitant. Especially some of the drugs. It's not out of the question that I could use 3,000 dollars worth of supplies and drugs for a single pt, and that's at our resupply cost.

1 year,27 days
top

How Kentucky Built the Country's Best ACA Exchange

unkiereamus Re:What is an ACA Exchange? (333 comments)

Okay, you've got a couple of problems here. First:

Healthcare is full of fake non-profits. They're NP because they "donate" care to the needy - though in reality they are required to treat everybody by law,

What you're thinking of is EMTALA (Emergency Medical Treatment and Labor Act). It's the big dog in the "you have to provide medical care" laws (in the US). It basically boils down to "If you want to be eligible to be paid by Medicare, and you have an emergency room, you have to evaluate anyone who shows up at your emergency room to determine if they have a life-threatening condition, and stabilize them if they do, as well as providing obstetrics services to anyone in imminent labor." If you show up to the ER with a cold, they don't have to treat you, they just have to evaluate you to be sure you're not gonna croak, then they can kick you loose. Now, the reality is, the evaluation is basically the hardest, and most expensive, part of an ER visit, so they tend to tack on treatment, but they're not required to. (Also, the prevailing attitude in emergency medical workers is that we SHOULD treat everyone, billing can worry about whether or not we get paid for it.)

Nearly every NP hospital has a team of lawyers which clog the judicial system chasing payments from non-paying patients.

Here, I can only speak anecdotally, First, my experience as a patient: I recently broke my leg badly enough that I required surgery, and I have no insurance. I could have gone to the university hospital, which receives funding from the state and the county to take care of people with no insurance, but for various reasons, I preferred to go to the local non-profit hospital. I went to one of their financial counselors, explained my financial situation, provided them with a copy of my most recent w2 and my last two paystubs, and they qualified me for 100% charity care, which means they're not going to charge me for anything, which by the time I'm done with everything is going to be around 35k USD that they'll be picking up. (As an aside, I have a job I had to go to college for, work 48 hours a week at, and am open to massive liability every day I work, and I make little enough money that I qualify for charity care, thus the pay scales in EMS.)

Next from a professional perspective: I work for a company that does a lot of inter-facility transfers, both taking people back to nursing homes, and what I personally tend to do the most of, since I'm a paramedic, is taking people from the local small community hospital (which is a non-profit), down to the university hospital, the big non-profit I went to, or a big for-profit, basically because the patient needs better medical care than the community hospital can provide. It's all done on a case by case basis, but if for whatever reason it's determined that the pt's insurance won't pay for our services, because they don't have any, because the pt has reached their cap, whatever, the small non-profit hospital will pay us. In fact, to take it a step further, I know of at least one patient recently who needed to go into a nursing home, but he is 42, so he doesn't qualify for medicare, and he didn't have any insurance, so in the interim time while they were working on getting him qualified for medicaid (about 3 months that I know of), the hospital was paying for the nursing home, as well.

As a final anecdote, and somewhat off the topic, but I've always worked for for-profit private companies, and every last one of them writes off bills all the time. In fact, the general rule of thumb is that for 911 services, you're going to write off 80% of your bills.

1 year,27 days
top

How Kentucky Built the Country's Best ACA Exchange

unkiereamus Re:Wow. (333 comments)

I really probably shouldn't do this, since it's far too close to arguing politics on /., which everyone knows is a no-no, but...

Here's the thing, per the wikipedia page, which is as much research as I care to do about this, he got the board certification from the ABoO, then formed the NBoO because he and about 200 other ophthalmologists got their knickers in a twist about having to recertify, let that fall apart, then reformed it right before his original certification ran out. As of now the NBoO isn't recognized by anyone. That's problematic.

Certification is incredibly important in medical fields. If the chef at a restaurant doesn't know his stuff, you're gonna eat a steak that's overdone, if your ophthalmologist doesn't know his stuff, then you're blind for life. Someone's gotta be making sure that our doctors actually know what they're on about, the price of them screwing up is too high.

If you genuinely disagree with that, then let me know the next time you need surgery, with three days notice I can be board certified by the National Board of AreYouFuckingInsane Surgery, and I'll beat anyone else's price for your surgery by 25%. Don't worry dude, I"m like, totally qualified. I saw it on TV once.

Oh, and real quick before anyone brings up the whole recertification thing, Even if you're the best damn ophthalmologist in the world, if you don't keep up with the current science, you'll fall behind in much less than 10 years. The big bad secret about medicine is that we still don't really know how the human body works, we've just got a pretty good set of guesses, but we figure out ways that we're wrong all the time. Hell, I'm a paramedic, I deal with disease processes that we understand pretty well, and I have to recertify every 2 years, including proving I've done a whole bunch of continuing education.

1 year,27 days
top

UK Court Orders Two Sisters Must Receive MMR Vaccine

unkiereamus Re:Good. (699 comments)

There's a statistic I've run into multiple times throughout my education. It's there to make us feel better about delivering a child, something we do infrequently at best. (In fact, in 8 years I've still never done it, I'm hoping to keep up that record.)

99% of neonates will not require resuscitation.

The flip side of that is, of course, that 1 out of every 100 births will require extraordinary measures. So let's just go ahead and say that we're 99% accurate in spotting the high risk OB pts (which is quite generous, believe me.), that means that 1 out of every 10,000 "normal" births will require resuscitation.

Per the CIA Factbook, the global birthrate per minute right now is about 252, which means that once every 40 minutes or so, a birth we thought would be no problem results in a child requiring extensive, trained care.

about a year ago
top

UK Court Orders Two Sisters Must Receive MMR Vaccine

unkiereamus Re:Good. (699 comments)

I've got a theory about hating needles, or being afraid of them.

The reason that most kids and later adults who are afraid of needles is because they were lied to when they got their first injection/venipuncture. If they're told "Don't worry, this won't hurt." in the misguided belief that they'll relax so it'll hurt less, then the surprise becomes a lifelong aversion. If however the provider was honest and says "This will hurt, but only for a little bit" and ideally bribes them with candy after, then you're golden.

I have absolutely no proof for this theory, it's purely anecdotal, but it seems sound, and at any rate, I always tell a kid something will hurt if it MIGHT, let alone will. I never lie to a pediatric patient.

about a year ago
top

Big Box? Nissan Note the First-Ever Car You Can 'Buy' On Amazon

unkiereamus Re:Buying without driving? (182 comments)

Really, there's very little that matters that you can learn from a test drive.

I rather disagree.

First, I'm 6'8, I can find out whether I fit in the car. Second, I can find out whether the build quality meets MY definitions of acceptable. Finally, I can find out if I like to drive it, for some people a half second turbolag is no big deal, for some it's a huge deal, and still others they have no idea, since they've never driven a car with a turbolag.

There are some things that are very specific to people. True story: I once went out to test drive a truck, turns out the exhaust note was smack dab on the resonant frequency of my sinuses. Despite it not being that loud in any sort of absolute sense, driving for 5 minutes gave me a splitting headache. And yet the vast majority of people had absolutely no problem with it.

about a year ago
top

Post-post PC: Materials and Technologies That Could Revive Enthusiast Computing

unkiereamus Re:No (128 comments)

Except that it is replacing work I would do on a PC.

First, let's get rid of the notion that laptops are inferior species spec wise, compared to a server, they are, compared to a high end desktop they are, but my primary computer is a laptop, this is because I spend 48 to 96 hours straight at work, so it just makes sense for me to have a computer I can take with me. In fact, I would go so far as to say that my laptop, which is a higher end model, but certainly not the highest end, is superior, spec wise, to at least 80%, and probably 90% of the desktops that are in use today. And you know what I get when I put my laptop on a desk rather than my lap? A somewhat odd form factor desktop.

Second, You know what services that can't afford toughbooks do these days? The answer isn't "don't use EMR" because that's really not an option any more. They have the field employees fill out paper while they're in the truck, then when they get back to base, they have to duplicate all that information into a desktop using a variety of services (imagetrend being the 800lbs gorilla in the field).

I dunno, I had a beautiful woman asking me why I wasn't drinking with her as I finished typing up the last comment, and now I'm in the after effects of having a beautiful woman demanding that I drink with her, I'm not sure I'm making sense, but I'm pretty convinced that I'm right...but my etoh level suggests I might be full of shit.

about a year ago
top

Post-post PC: Materials and Technologies That Could Revive Enthusiast Computing

unkiereamus Re:No (128 comments)

The PC is the correct form factor for getting work done by humans. Mobile devices are not.

I'd say, instead, that the desktop and laptop PC are the correct form factors for getting done the sort of work that you do when seated for a long time. There are probably people whose work is sometimes done while on the move and for which a desktop PC is obviously not going to work and for whom a laptop PC might not work very well; consider, for example, somebody managing a construction project who might need to look things up, enter data, do some calculations, etc. while on site. I suspect that a mobile phone would be the wrong form factor for them, but a tablet might be the right form factor.

I'll actually give you a primary source, real life example.

I'm a paramedic, every single patient for whom I have responsibility of care for, I have to generate documentation for. Up until about 2008, that meant actual paperwork, about then, the industry as a whole being phasing in electronic medical records. To the business office, they're great, because billing the patients, and keeping the records is much easier, and for me, the end user of the system, it's great because, especially when you're using a touch screen and a properly designed program, the computer is much faster and easier to use than a pen (especially for me, my handwriting sucks balls.)

Up until this point, and I imagine for a while into the future, the solution of choice has been to use the Panasonic toughbooks that will convert to a tablet form factor (CF-18s,-19 etc). The touchscreen is necessary, because we actually use it to collect signatures (quite aside from the fact that stabbing at options on the screen can easily cover 99.5% of the use cases), the portability was of course necessary, because I start my paperwork in the pt's house and finish in the ER, the keyboard was necessary because I have to type up a narrative for each pt, and the ruggedness was necessary because we beat the hell out of our machines. e problem is, even the older machines are WAY more powerful than we need, not to mention being heavy as hell (remember, I have to hand these to 96 yo pts to get a signature.)

These EMR suites are starting to be developed for tablets, both iOS and android, and the market is starting to come up with workable ruggedized tablets. nce we get over the industrial inertia we have (which is surprisingly significant, given how agile we're supposed to be), we're going to move to tablets with some sort of external keyboard (at a guess, at odds with the ruggedized tablet, the preference will be for keyboards cheap enough to be effectively disposable), and it will be the right solution for us.

No, my biller and office manager will still be using a full blown PC, but in the field, not so much.

about a year ago
top

Stephen Colbert and the Monster Truck of Tivos

unkiereamus Re:Is it Tivo or DVR? (85 comments)

Personally, I was hoping for Colbert building a monster truck out of TiVos and driving over the cars in the executive lot at Viacom.

about a year ago
top

This Satellite Could Be Beaming Solar Power Down From Space By 2025

unkiereamus Re:It's all good until (Cost Benefit Analysis) (245 comments)

This isn't about power, it's about finding excuses to build rockets.

Not quite.

This is about pushing the boundaries of what we can do. This is about shooting so high we're staring into the sun.

There was no reason for us to go to the moon. In and of itself, it accomplished nothing to improve the lot of humanity, but it was a hell of a thing. It made people dream, it inspired an untold amount of people to go into STEM fields, and on a more direct note, it advanced electronics tremendously.

As a race, we need to do big, audacious things. This is one of them, It should be done. It's not as big a thing as going to the Moon, but it's bigger than getting a cup of coffee.

I'm willing to bet that even if it is just as much a flop as you think it will be, (And you seem to know what you're on about, so I'm willing to concede that if it were done with the current technology, you're probably right.), inside of 20 years, it'll pay for itself in many ways, the least of which might be the power beamed back down to Earth.

about a year ago
top

Open Source Mapping Software Shows Every Traffic Death On Earth

unkiereamus Re:Dominican Republic, Iran and Thailand stats (322 comments)

Not to detract from your point, but if you need to lower a wheel by dropping it into a pothole in order to leg down comfortably, you really should be riding a shorter bike. You ought to be able to comfortably flat foot both legs at any given stop. Your ability to quickly pull away should some asshole just not see you as they come speeding up behind is greatly enhanced by being at a good balance when you're stopped.

about a year ago
top

The First 'Practical' Jetpack May Be On Sale In Two Years

unkiereamus Re:Practical (127 comments)

First, a motorcycle rider isn't in the same category as a "Thrill seeker". Maybe the people that ride around in Ninjas and crotch rockets... but the rest of us who ride have a term for those people: Organ donors. Most people ride motorcycles because they're liberating, they're fuel efficient, and because they have fast reflexes. Mostly that's because of people who drive cars stupidly... motorcyclists are amongst the most safety-conscious people on the road. Okay, rant done.

I take some objection to that notion. Possibly thrill seeker is a little extreme, but motorcycle riders can certainly be be categorized at least as being non-risk adverse. There is no doubt that riding a motorcycle is vastly more dangerous than driving a car, is you're someone who categorizes that as important, and especially if you're not going to counterbalance that fact in the decision making process that motorcycles are vastly more fun than cars (or as you call it, liberating), then you're not going to ride one.

I understand your desire not to be lumped in with squids, which is perhaps what GP was thinking, but motorcycle riders are thrill seekers.

Right now, btw, I have the credentials to talk about this, given that I'm currently bed confined s/p surgery to fix the leg I broke after my front tire blew out (a week and a half after I replaced both tires!)...and I'm anxious because I expect to get my bike back tomorrow so I can find out what I'm going to need to do to it to get it running by the time I'm healed.

about a year ago
top

Whistleblowing IT Director Fired By FL State Attorney

unkiereamus Re:Loud and clear (569 comments)

Any chance they'll get this one branded a traitor by the end of next week?

Come now. Haven't you been paying attention to the US for the last 12 years?

They're going to label him a terrorist.

about a year ago
top

Man Who Sold $100 Million Worth of Pirated Software Gets 12 Years In Prison

unkiereamus Re:Nuber not that impressive (304 comments)

International airfare is just expensive, and its pricing is complicated -- because there are high fuel costs for the airline dependent on costs in both source, destination place, and there is little competition.

It's actually more complicated than that, there are international treaties involved in international airfare. The basic point, however, is that the 500USD ticket down there was much easier to buy when I was living in the states than the 500USD ticket back to the states was to buy while I was living down there.

about a year and a half ago
top

Man Who Sold $100 Million Worth of Pirated Software Gets 12 Years In Prison

unkiereamus Re:Nuber not that impressive (304 comments)

Well, the difference is in the external costs.

Generally the internal costs of an area are consistent, a big mac will cost a certain percentage of the median income, no matter what that income is, but external costs are fixed.

For an example, I used to live in Honduras, the median income was 3k USD or so, the costs of food and housing were commensurate. International airfare, however, doesn't drop, nor for that matter, did the value of the student loans I still have outstanding.

about a year and a half ago
top

Man Who Sold $100 Million Worth of Pirated Software Gets 12 Years In Prison

unkiereamus Re:Nuber not that impressive (304 comments)

I'd just like to point out that the median personal income in the US in 2012 was 42,693 USD.

I don't know where you're living, but I'd like to live there if the typical personal income is 90k.

about a year and a half ago
top

Video Gamers See the World Differently

unkiereamus Re:It causes bad drivers (160 comments)

Yeah, I'm going to have to go ahead and disagree with you on this.

You're missing a much more fundamental possible cause of the behavior. By and large, the drivers of rice rockets are late teens/early 20s males. Late teens/early 20s males have a couple things going on:

A) They engage in experience seeking, risk taking behaviors at a much, MUCH higher rate. The causal link between that and testosterone is the popular theory, scientifically it's still up in the air as far as I know, but I haven't really been paying attention.

B) They exhibit poor judgement. This isn't terribly surprising, given that judgement tends to grow out of experience, and they just don't have that much of it.

In short, late teens/early 20s males, myself included, have been driving like assholes for longer than the video games you want to blame it on have been around. I haven't really spent much time talking to any of them about it, so it's possible that's how they're justifying their stupid driving practices these days, but it's not what's causing it. Me, I just claimed to have superior situational awareness and car control, I didn't even bother trying to justify that accidents are caused by people who failed to come up to my mark...I didn't care about them.

Thankfully, as I look back, I don't think I caused any accidents, but that's really through no credit to myself.

about a year and a half ago
top

Google Glass: What's With All the Hate?

unkiereamus Re:Well now (775 comments)

I'll grant you the need/want thing, I should know better than to engage in inexactitudes of language.

As far as the distraction issue, it all comes down to a matter of prioritization. There are times I absolutely cannot take my eyes off the road ahead of me, when I'm going through blind curves or cresting hills, when I'm moving through an intersection, when I'm moving through a zone of merging, when I'm in a residential neighborhood filled with suicidal children (all children are suicidal), or any number of other situations in which the potential for rapidly changing road hazards exists. There are times when I absolutely can take my eyes off the road for a second, for example, when I'm on a long straightaway, without any vehicles close to me or I'm sitting at a stoplight, with no one coming up behind me any time soon. Currently I use that time to check my blind spots, check my speed to make sure I haven't creeped up further over the limit than I'm comfortable betting the police won't stop me (I never need to look at my speedometer to determine whether or not I'm driving at a safe speed.), check my odometer and figure out how much fuel I have, and after everything has been done, and I have some time before I need to repeat any of it, I'll look around at the scenery...why shouldn't I wedge check the map and read any alerts in there, especially given that doing either one leaves the roadway in my peripheral vision, which, for example checking my blind spots doesn't?

about a year and a half ago

Submissions

top

What if slashdot readers wrote the law?

unkiereamus unkiereamus writes  |  more than 6 years ago

unkiereamus (1061340) writes "Almost everytime there is a Slashdot story about one piece of legislation or another, there are some comments posted which essentially boil down to "This is what happens when people with no understanding of technology try to regulate it." Which leads me to wonder, What would happen if people with a good understanding of technology were to attempt to regulate it?

If you were a legislator, what laws would you write, be it about patent/copyright reform, net neutrality, elimination of child porn or any of the hundreds (thousands?) of other technology subjects which bear legislation?"

Journals

unkiereamus has no journal entries.

Slashdot Login

Need an Account?

Forgot your password?