<rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Hacker News: epcoa</title><link>https://news.ycombinator.com/user?id=epcoa</link><description>Hacker News RSS</description><docs>https://hnrss.org/</docs><generator>hnrss v2.1.1</generator><lastBuildDate>Mon, 06 Apr 2026 04:30:50 +0000</lastBuildDate><atom:link href="https://hnrss.org/user?id=epcoa" rel="self" type="application/rss+xml"></atom:link><item><title><![CDATA[New comment by epcoa in "Make macOS consistently bad unironically"]]></title><description><![CDATA[
<p>> I'm cautiously optimistic that AI will let us build full operating systems using other OSs as working examples.<p>Why? No one has shown that LLMs produce particularly good code. You can get a lot of useful shit done with what is still slop, but there is no reason to believe there's any evolutionary improvement.</p>
]]></description><pubDate>Sat, 28 Mar 2026 10:35:11 +0000</pubDate><link>https://news.ycombinator.com/item?id=47553334</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=47553334</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47553334</guid></item><item><title><![CDATA[New comment by epcoa in "Bubble Sorted Amen Break"]]></title><description><![CDATA[
<p>It’s pronounced “Allman Brothers”</p>
]]></description><pubDate>Fri, 13 Mar 2026 14:38:52 +0000</pubDate><link>https://news.ycombinator.com/item?id=47365107</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=47365107</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47365107</guid></item><item><title><![CDATA[New comment by epcoa in "zclaw: personal AI assistant in under 888 KB, running on an ESP32"]]></title><description><![CDATA[
<p>> vastly more complexity.<p>Doom is ingenious, but it is not terribly complex IMHO, not compared to a modern networking stack including WiFi driver.
The Doom renderer charm is in its overall simplicity. The AI is effective but not sophisticated.</p>
]]></description><pubDate>Sun, 22 Feb 2026 00:26:19 +0000</pubDate><link>https://news.ycombinator.com/item?id=47106665</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=47106665</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47106665</guid></item><item><title><![CDATA[New comment by epcoa in "Backblaze Drive Stats for 2025"]]></title><description><![CDATA[
<p>You know, there are external drive USB controllers that linux blocks/blacklists SMART passthrough when using UAS due to paranoia and historical problems, but this can overridden.<p><a href="https://www.mcgarrah.org/usb-drive-smart/" rel="nofollow">https://www.mcgarrah.org/usb-drive-smart/</a><p>I guess it is possible this is not your problem, but the last Seagate external I bought in October worked just fine with this workaround. This is probably safe from a data integrity standpoint, at least with a modern filesystem, but in my case it was no issue as I was only using the SMART to do tests before shucking the drive. Also, I don't know of any modern drive that truly doesn't support SMART.</p>
]]></description><pubDate>Sun, 15 Feb 2026 05:06:00 +0000</pubDate><link>https://news.ycombinator.com/item?id=47021225</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=47021225</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47021225</guid></item><item><title><![CDATA[New comment by epcoa in "The wonder of modern drywall"]]></title><description><![CDATA[
<p>For nearly a decade, Chicago does allow MC cable in a number of circumstances, basically up to 25 feet branches where you don’t want to open up a wall.</p>
]]></description><pubDate>Sun, 15 Feb 2026 02:36:32 +0000</pubDate><link>https://news.ycombinator.com/item?id=47020537</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=47020537</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47020537</guid></item><item><title><![CDATA[New comment by epcoa in "The wonder of modern drywall"]]></title><description><![CDATA[
<p>So outside of a few notable examples, the materials rarely fail, galvanized duct work should easily last half a century in a properly installed and maintained system, properly installed copper pipe or PEX and even (C)PVC, properly installed NM or wiring in conduit where code requires, where people get into trouble is with shoddy builders and the housing market often causes those to forgo proper inspections and it is ultimately a “market for lemons”. But blaming drywall seems a bit misplaced, since shoddy building in targeting cost only, they’re going to be the last ones replacing drywall with something fancy and expensive.</p>
]]></description><pubDate>Sun, 15 Feb 2026 01:54:45 +0000</pubDate><link>https://news.ycombinator.com/item?id=47020349</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=47020349</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47020349</guid></item><item><title><![CDATA[New comment by epcoa in "The wonder of modern drywall"]]></title><description><![CDATA[
<p>No, Uponor AquaPEX.</p>
]]></description><pubDate>Sat, 14 Feb 2026 06:19:20 +0000</pubDate><link>https://news.ycombinator.com/item?id=47012106</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=47012106</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=47012106</guid></item><item><title><![CDATA[New comment by epcoa in "The wonder of modern drywall"]]></title><description><![CDATA[
<p>Rarely do pipes, wires, or ducts just outright fail even in 50 years. Usual case for tearing out drywall is for voluntary renovations. Shit behind the wall just doesn't "fail" if it is left undisturbed or you were unlucky like those that got defective PEX or similar installed.</p>
]]></description><pubDate>Fri, 13 Feb 2026 07:35:37 +0000</pubDate><link>https://news.ycombinator.com/item?id=46999968</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=46999968</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46999968</guid></item><item><title><![CDATA[New comment by epcoa in "The Day the Telnet Died"]]></title><description><![CDATA[
<p>telnet has never been in POSIX though.</p>
]]></description><pubDate>Wed, 11 Feb 2026 02:32:42 +0000</pubDate><link>https://news.ycombinator.com/item?id=46970035</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=46970035</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46970035</guid></item><item><title><![CDATA[New comment by epcoa in "Heart and Kidney Diseases and Type 2 Diabetes May Be One Ailment"]]></title><description><![CDATA[
<p>The term Metabolic Syndrome X has been around for more than a few years, unless nearly 40 is few (and I absolutely relate to that sentiment), just saying that concept was revved up in the 90s and of course has been  an academic discussion going back to the early 20th century.<p><a href="https://www.ahajournals.org/doi/10.1161/01.atv.0000111245.75752.c6" rel="nofollow">https://www.ahajournals.org/doi/10.1161/01.atv.0000111245.75...</a><p><a href="https://pubmed.ncbi.nlm.nih.gov/3056758/" rel="nofollow">https://pubmed.ncbi.nlm.nih.gov/3056758/</a></p>
]]></description><pubDate>Thu, 18 Dec 2025 18:31:32 +0000</pubDate><link>https://news.ycombinator.com/item?id=46316607</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=46316607</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46316607</guid></item><item><title><![CDATA[New comment by epcoa in "VA staff flag dangerous errors in Oracle-built electronic health record"]]></title><description><![CDATA[
<p>Opioids are not weight based dosed for adults. Typically pain protocols start at fixed doses based on prior opioid use and titrate up for effect.<p>Also was this a bug in Epic proper or a site specific customization?</p>
]]></description><pubDate>Wed, 03 Dec 2025 19:18:57 +0000</pubDate><link>https://news.ycombinator.com/item?id=46138714</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=46138714</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46138714</guid></item><item><title><![CDATA[New comment by epcoa in "The risk of round numbers and sharp thresholds in clinical practice"]]></title><description><![CDATA[
<p>> Paracetamol is the most common cause of liver failure in the US.<p>This is also a bit misleading, it’s the most common cause of <i>acute</i> liver failure which is overall quite rare in developed countries. The most common need for transplants are still by far progressive chronic liver diseases leading to cirrhosis.</p>
]]></description><pubDate>Sat, 29 Nov 2025 23:43:23 +0000</pubDate><link>https://news.ycombinator.com/item?id=46091947</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=46091947</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46091947</guid></item><item><title><![CDATA[New comment by epcoa in "A monopoly ISP refuses to fix upstream infrastructure"]]></title><description><![CDATA[
<p>It’s AT&T not ATNT. You could have just said it outright, what is the point of the obscurity? It’s not funny if that’s what you were going  for.</p>
]]></description><pubDate>Sun, 23 Nov 2025 15:53:07 +0000</pubDate><link>https://news.ycombinator.com/item?id=46024443</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=46024443</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=46024443</guid></item><item><title><![CDATA[New comment by epcoa in "The Sega Master System"]]></title><description><![CDATA[
<p>Probably a little nostalgia. The SMS sound chip is one of the cheapest and most primitive jellybean sound chip of the era (only 3 square waves, noise and no envelope generator either). That isn’t to say appreciating the art of doing more with less isn’t valid. It’s sort of like a MS Paint type of thing though.</p>
]]></description><pubDate>Sun, 09 Nov 2025 21:53:34 +0000</pubDate><link>https://news.ycombinator.com/item?id=45869562</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=45869562</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45869562</guid></item><item><title><![CDATA[New comment by epcoa in "Using AI to negotiate a $195k hospital bill down to $33k"]]></title><description><![CDATA[
<p>HSAs are triple tax advantaged retirement accounts. Not taxed on contribution, gains, or withdrawals for qualified expenses. In the worst case it becomes like a pretax IRA because after age 65 you will not pay a penalty on non qualified expenses - but qualified expenses tend to increase with age. For many it should be their primary retirement account.
Even for people with certain chronic conditions (not in perfect health), depending on how good/expensive the PPO offered by the employer, it might still work out better to do HDHP/HSA.
You can get as many basically free HSA accounts from Fidelity.<p>An FSA really has nothing to do with an HSA.</p>
]]></description><pubDate>Tue, 28 Oct 2025 23:54:10 +0000</pubDate><link>https://news.ycombinator.com/item?id=45740907</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=45740907</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45740907</guid></item><item><title><![CDATA[New comment by epcoa in "Comparing the power consumption of a 30 year old refrigerator to a new one"]]></title><description><![CDATA[
<p>Nah, dishwashers are pretty light too. With a muscle mass of 1% I usually just flip it over to work on it. This is just peak HN, PhDs still phased by something requiring an 8th grade level of education. In the US, the supply is usually a screw on, the drain a clamp and if the wiring isn’t already a quick connect just throw some Wagos on.</p>
]]></description><pubDate>Sun, 19 Oct 2025 22:49:05 +0000</pubDate><link>https://news.ycombinator.com/item?id=45638736</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=45638736</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45638736</guid></item><item><title><![CDATA[New comment by epcoa in "Ultrasound is ushering a new era of surgery-free cancer treatment"]]></title><description><![CDATA[
<p>> People also don't want (their loved ones) to suffer, especially needlessly.<p>You might be very surprised how family actions very often are not consistent with this supposed desire. 98 year olds in the hospital with multiple end stage illnesses - full code, happens all the time. Ask any healthcare worker in the US, pretty classic the elderly rotting away in a nursing home, rarely visited, then they get admitted and their healthcare proxy  wants “everything done”. Often seems to be a reflection of their own guilt. Sometimes it’s just poor healthcare literacy.<p>But no, regardless of what you think these people may<p>> In the US, exactly because of situations like this, that sort of thing is a lot harder today to pull off.<p>This is basically false. Most large systems have comfort care order set, with opioid drips. Transition to hospice is readily available. Usually the barrier to these are patients themselves or their families.<p>Also even the US, the principle of double effect prevails in palliative care.</p>
]]></description><pubDate>Tue, 14 Oct 2025 23:34:39 +0000</pubDate><link>https://news.ycombinator.com/item?id=45586263</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=45586263</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45586263</guid></item><item><title><![CDATA[New comment by epcoa in "GNU Health"]]></title><description><![CDATA[
<p>One example was already given. Epic dates back to 1979, certainly they were doing something prior to 2009 (as was Cerner and Meditech). Other than HITECH, what other major regulation in the US are you referring to?<p><a href="https://international.kaiserpermanente.org/wp-content/uploads/2019/07/EHR_Journey_final.pdf" rel="nofollow">https://international.kaiserpermanente.org/wp-content/upload...</a><p>Both UPMC and Cleveland Clinic were early adopters around 2001.
Meditech has been partnered with HCA since 1994.</p>
]]></description><pubDate>Sun, 12 Oct 2025 02:17:57 +0000</pubDate><link>https://news.ycombinator.com/item?id=45554574</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=45554574</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45554574</guid></item><item><title><![CDATA[New comment by epcoa in "GNU Health"]]></title><description><![CDATA[
<p>I dunno, QuadraMed that was used by at least NYC H&H for years before their imperiled transition to Epic prominently displayed “Revenue Cycle Management” on the splash screen of its decrepit <i>provider</i> facing frontend.<p>Both of you are overstating your cases. That said, it’s hard to overstate how heavily charge capture and billing are prioritized to the detriment of other aspects.<p>> I can think of zero instances where an organization switched to EHR without being forced by a deadline from an outside source.<p>There were major EHR deployments in the 80s through early 00s, before most government mandates. Surely later mandates were an incentive This reflects a lack of tenure.</p>
]]></description><pubDate>Sat, 11 Oct 2025 19:12:17 +0000</pubDate><link>https://news.ycombinator.com/item?id=45551813</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=45551813</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45551813</guid></item><item><title><![CDATA[New comment by epcoa in "The <output> Tag"]]></title><description><![CDATA[
<p>What does SHTML stand for?</p>
]]></description><pubDate>Sat, 11 Oct 2025 14:38:58 +0000</pubDate><link>https://news.ycombinator.com/item?id=45549499</link><dc:creator>epcoa</dc:creator><comments>https://news.ycombinator.com/item?id=45549499</comments><guid isPermaLink="false">https://news.ycombinator.com/item?id=45549499</guid></item></channel></rss>