Hacker Newsnew | past | comments | ask | show | jobs | submit | tyoma's commentslogin

Surprise ambulance bills are mostly (but not completely) illegal in California as of Jan 1 2024. Ask the LLM of your choice about AB 716 and whether it applies to your situation (it likely but not certainly does). Have the LLM draft a letter and send the physical letter to the ambulance company. If they are bothering you, request they only contact you by US mail.


Chronic absenteeism is a huge misnomer. The statistic covers both excused and unexcused absences.

The reason it’s since covid up is because (more) parents stopped sending their kids to school when they are sick.

Last year I got a semi-threatening letter from the district for “chronic absenteeism” because I didn’t want to send a sick child to school. To their defense, they did say that the state (California) requires them to send the letter.


> Again, don't put private health information into ChatGPT. I get the temptation, but don't do it. I'm not trying to gatekeep healthcare, but we can't trust these models to count the number of b's in blueberry consistently. If we can't trust them to do something trivial like that, can we really trust them with life-critical conversations like what happens when you're in crisis or to accurately interpret a cancer screening?

I did just this during some medical emergencies recently and ChatGPT (o3 model) did a fantastic job.

It was accurately able to give differential diagnoses that the human doctors were thinking about, accurately able to predict the tests they’d run and gave me a useful questions to ask.

It was also always available, not judgmental and you could ask it to talk in depth about conditions and possibilities without it having to rush out of the room to see another patient.


OpenAI released this a couple months ago

https://openai.com/index/healthbench/

Give it a year and that benchmark will probably be maxed out too.


I think its less amnesia and more that many commenters were too young to have experienced pre-Uber taxis: the call for a pickup thats routinely ignored, flailing arms in the cold hoping someone stops, the smelly car, refusal to pick you up because your ride is too short or too long, getting taken for an extended ride to your destination, the credit card machine thats always broken. Oh, and if you want to complain I hope you can make an 8am hearing at the taxi commission in 6 weeks.


From a quick spot check… yes?

Assume 120 homes in an area, evenly distributed per month on yearly leases. If all renters switch every month and it takes a month to re-rent the unit, there is a vacancy rate of 8.3%

Obviously not every renter moves every lease end, but also some units are in places no one wants to live, others are mispriced, some need renovation or extensive cleaning, etc.

But from a cursory sanity check the 6.9% number is likely reasonable for a fairly tight rental market.


I feel for the victim and Google’s continued inability to provide customer service. Maybe the media attention will escalate this to someone who can fix it.

As an aside, I am relieved to see this is from the UK. Whenever sim swap stories end up on HN there are always comments about how it’s due to some unique incompetence of US-based cell service providers.


While it's no excuse for their subpar customer verification practices, cell carriers globally have been telling tech companies for years not to use control of a phone number as an auth factor, and they've been doing it anyway.


They successfully completed high speed rail service that has been operational since 2018: https://en.m.wikipedia.org/wiki/Al_Boraq

Meanwhile California has yet to start service.


Oh very cool, they have the TGV there!


For a long time I wondered why there was such a big push for PQ even though there was no quantum computer and a reasonably working one was always 15 years in the future.

… or was there a quantum computer somewhere and it was just kept hush hush, hence the push for PQ?

The answer turns out to be: it doesn’t matter if there is a quantum computer! The set of PQ algorithms has many other beneficial properties besides quantum resistance.


The point is that a lot of secrets need to remain secrets for many years. If some government found a way to break elliptic curve in the same way that the number field seive broke rsa (hence we now need 2048-bit keys rather than 256bit keys we were using in the 90s) we’d be fucked for many years to come as all secrets are leaked.

So there may not be quantum computers now. But if there’s going to be in 20years we need our crypto to be resilient now.


Because SNDL is a long planned attack for secrets that have a long life time.

https://en.wikipedia.org/wiki/Harvest_now,_decrypt_later


I’m a physicist working on QC. I know we actually don’t know if a “secret” QC exists somewhere, but given that major theoretical and engineering breakthroughs are needed to build a fault tolerant one (and all QC companies are facing this regardless of whether their qubits optical, superconducting, trapped ions etc), I’d put that possibility to near zero. Consider also the talent and expertise that is needed for such an endeavour…


There are pathways to quantum computers that are intrinsically highly fault tolerant: https://sqc.com.au/news/


Very nice! I hope you folks will go far. Best of luck :)

That said, the entire field is still so far from a seriously useful QC that I still wouldn’t bet there’s a secret one somewhere in some government lab. Those are my two cents, and I may be wrong of course.


I’m not claiming there is. There might be, but I find it unlikely. When the NSA develops practical QC systems, a lot of QC research will suddenly go quiet. That hasn’t happened.

There is a viable pathway to low error rate, scalable quantum computers on a less than 10 year time horizon though.


50 million in a series A for a cold-fusion-like technology in Australia?? What’s going on here? Did they discover something groundbreaking?


There is a long history of this technology, and the comparison to cold fusion is unwarranted. This is peer reviewed, accepted science. The basic technique was worked out under a DoE study in Texas, with an Australian collaborator. She (Dr. Michelle Simmons, who is widely respected in this field) then Went out and raised money to scale-up.

The basic idea is that they use scanning probe microscopes to create structures on a silicon surface with atomic precision, which can then be manipulated by the surrounding chip as a solid-state qubit. You still need error correction, but it ends up being a small constant factor rather than combinatorial blowup.

Full disclosure: I’m fundraising a startup to pursue a different manufacturing process that would enable the same type of quantum computer, but with nitrogen vacancies in diamond instead of silicon (and therefore still higher reliability).

One way or the other, highly reliable quantum computers are right around the corner and are going to take a lot of people by surprise.


>This is peer reviewed, accepted science.

This is also something that people outside academia apparently don't understand. Peer review doesn't tell you anything about the validity of the science. It only ensures the methodology was correct. The original Pons & Fleischmann paper passed peer review and was published in the Journal of Electroanalytical Chemistry. It only got retracted after other people tried and failed to reproduce it. If you want to know whether science is legit or not, look out for reproduction by independent actors - not peer review.


Indeed. Peer review is table stakes for the conversation, not an acceptance criteria for "true". Plenty of things get published that are generally regarded as wrong by those who work in the field.


There's journal peer review, and then there's scientific community peer review which involves acceptance of ideas and replication. They're not the same thing and unfortunately not often distinguished in speech or writing ("peer review" describes both). I thought that on HN it would be clear I was talking about the latter.

In this case, three separate labs have replicated this work. It's solid.


Peer review in fundamental science is almost universally understood straightforwardly as part of the process of publishing said science. The other kinds you are referring to (there's actually more than one) are more common in other fields. Peer review in physics is very far from acceptance in general.


Maybe, but that’s a very recent redefinition of terms. Peer review as a standardized mechanism in the 70’s - 90’s depending on the field. Until very close to the present saying “passing peer review” meant something akin to the Popperian notion of “ideas that survive attempts at falsification by the broader community of scientific peers.” In all my interaction with academia pre-pandemic, it meant precisely this. Something wasn’t peer reviewed because it was published (surviving the editorial process), but because it was published and cited by later works without credible refutations emerging.


I don't know anything more than is written in this press release, but there's precedent: https://www.innovationaus.com/inside-run-psiquantum-given-a-...

> California-based startup PsiQuantum was given an “inside run” to a controversial $1 billion investment by Australian taxpayers as the only company that government engaged with in a thorough due diligence process.


It looks like that was gov also. The figures and the investment is weird in general.

Which tells you one thing…


And many problems, namely, enormous keys and signatures that make PKI nigh impossible for the embedded/IoT space.


According to the linked post there are PQ algorithms that will fit this niche:

> This variety of different trade-offs gives developers a lot of flexibility. For an embedded device where speed and bandwidth are important but ROM space is cheap, McEliece might be a great option for key establishment. For server farms where processor time is cheap but saving a few bytes of network activity on each connection can add up to real savings, NTRUSign might be a good option for signatures. Some algorithms even provide multiple parameter sets to address different needs: SPHINCS+ includes parameter sets for “fast” signatures and “small” signatures at the same security level.


Embedded/IoT is typically slow and small which is not a space PQ fits into.

I also think the article is overly optimistic claiming that ECC is “hard” because of the need for careful curve selection (even though we have very good established curves), but I find it hard to believe that PQ algorithms are immune to parameter selection problems and implementation challenges.


There has been research on the intersection of IoT and PQ signatures specifically at least, e.g. see "Short hash-based signatures for wireless sensor networks" [0] [1]. Unlike SPHINCS+ which is mentioned in the article, if you're happy to keep some state around to remember the last used signature (i.e. you're not concerned about accidental re-use) then the scheme can potentially be _much_ simpler.

[0] https://web.archive.org/web/20110401080052/https://www.cdc.i...

[1] https://news.ycombinator.com/item?id=33925383 I wrote about this "Dahmen-Krauß Hash-Chain Signature Scheme" (DKSS) algorithm previously in a comment a couple of years ago


The state is enormous. Dedicating megabytes and megabytes to key state is painful. And so is tracking state across components and through distribution channels. If you’re not afraid of that then just use symmetric crypto and be done with it.


> use symmetric crypto

To be clear my comment is specifically only relating to signature schemes, not encryption.

> The state is enormous

The scheme I linked to points towards efficient "pebbling" and "hash chain traversal" algorithms which minimize the local state required in quite a fascinating way (e.g. see https://www.win.tue.nl/~berry/pebbling/).

> tracking state across components and through distribution channels

Assuming you have reliable ordering in those channels I don't see how the stateful nature of such schemes makes it hugely more complex than the essential hard problem of key distribution.


The signature size for hash-based algorithms is around 16kb, and can be feasibly reduced to 8kb. The key sizes are around 32 bytes.

Lattice-based algorithms are around 1kb.


Also, we are talking about mitigating a large tangible downside risk to a sudden breakthrough in the space - all the secrets stop being secret. "Reasonable" timeline estimates for how far away we are matter for thinks like if/how much we invest in the tech, but optimistic timelines become pessimistic when defending against downsides and we should be pessimistic when preparing regulations and mitigations


> … or was there a quantum computer somewhere and it was just kept hush hush, hence the push for PQ?

If there were a quantum computer somewhere, or close to one, it would be reasonably likely for it to be secret.

I look at the history of crypto in the mid to late 20th century for example. Small groups in the Allies and the NSA and etc. had certainly more knowledge than was public by a wide margin, years to decades.


By 1990s they were pretty rubbish. DES could be cracked by home PCs for a couple of days.


That's not quite correct. The first (public) brute-forcing of DES was done in 1997 by the DESCHALL project distributing the search across tens of thousands of volunteer's computers for weeks [1]. The EFF then spent $250,000 to build a dedicated DES cracker ("Deep Crack") which required an average of four days per key found [2]

[1] https://en.m.wikipedia.org/wiki/DESCHALL_Project

[2] https://en.m.wikipedia.org/wiki/EFF_DES_cracker


DES itself is an example of the NSA being ahead of the field. The designed the S-box to be resistant against attacks nobody knew about yet.

Like the sibling comment points out, you're overstating the weakness of DES as well.


How much should they spend?


> First, mothers-to-be in the US need single-payer healthcare

This is already true, pregnant women qualify for Medicaid in every state. Medicaid pays for ~50% of all births.


This is a good point. If you do not count the half of births that aren’t covered by Medicaid, all of them are


Mothers who are covered by Medicaid may have alternative arrangements (such as employer sponsored healthcare) which they prefer.


Income limits usually apply still. In my state, its up to 32K for pregnant women or for those with a child under age 1. For children 1 and 5 it goes down to about 20K.

If you're above those limits, no medicaid. You can go on ACA/Obamacare plans but those are (much) more expensive even with subsidies, at least in my state.


A birth all in all is surely way above 10k dollars. So people are literally expected to pay 5k+ to have a child? If that's not stressful enough for many poorer people I don't know either


50% of births, not 50% of the cost of all births


If it's an emergency of some sort, it's probably 100% covered. The thing though is that MedicAid is run similarly to Medicare where private insurers get involved but provide really shitty plans with terrible formularies and very limited choices for providers. Also, there's widespread healthcare provider bias, stigma, and discrimination against MedicAid patients.

Also: Username checks out.


It is bonafide 100% government paid coverage for anything pregnancy or pediatrics related.

From: https://www.medicaid.gov/medicaid/cost-sharing/cost-sharing-...

> Out of pocket costs cannot be imposed for emergency services, family planning services, pregnancy-related services, or preventive services for children. Generally, out of pocket costs apply to all Medicaid enrollees except those specifically exempted by law and most are limited to nominal amounts. Exempted groups include children, terminally ill individuals, and individuals residing in an institution


Only the birth or also preliminary examinations?


Yes. Why is it so difficult to believe that the US has an extensive safety net carveout for pregnant women?


Because women’s healthcare has become a political football to the detriment of their care.



Pattern recognition


If the state forces you to have a baby, the least it can do is pay.


There's an incredible variety of health care needed in the 9 months before birth, and well after. That care is poorly covered in the US compared to most developed nations.


Yes that is also covered under Medicaid!


Inconsistently. It's a patchwork. MedicAid is really, really bad except for emergency care.


How much of your most recent pregnancy was literally and not theoretically 100% covered by Medicaid?


We were both in college when my first child was born with one $13/hr summer internships's worth of income. Medicaid covered 100% of everything; I paid $0 out of pocket.

This was in 2010.


MedicAid is absolute trash. It barely covers anything, few doctors accept it, and it isn't even close to proper healthcare.


This is false. Medicaid coverage is better than even European healthcare systems. It will cover rare disease drugs that aren’t paid for in the EU (it has to by law).

Plus the OOP expenses are basically zero.

While true not all doctor accept new Medicaid patients, you can find care.


Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: