Hacker News: nihonde

New comment by nihonde in "Midjourney Medical"

nihonde — Sat, 20 Jun 2026 01:18:10 +0000

Well, you've reduced a rational position to absurdity here. The concern isn't that someone is going to require chemotherapy. The concern is that an asymptomatic condition will go undisclosed until it is symptomatic, at which point preventative treatments are futile.

Even if we accepted your example, there is a fundamental inconsistency, since doctors in America regularly prescribe very serious drug interventions for patients who essentially self-diagnose for being neurotic/adhd/etc.--actually a much worse problem than the one you're so eager to curtail.

New comment by nihonde in "How Japan's railways stayed one while splitting apart"

nihonde — Fri, 19 Jun 2026 04:33:04 +0000

Japan has seen millennia of huge cultural shifts. Its strength is its ability to adapt and survive with some measure of continuity, even while embracing the new reality. Go watch some Ozu films. They're all about the "hollowing out" of traditional small-town lifestyle and culture. It isn't so much a problem as a feature of the landscape that reminds people about how transient their reality can be.

New comment by nihonde in "How Japan's railways stayed one while splitting apart"

nihonde — Fri, 19 Jun 2026 04:25:41 +0000

> "Hanshin, Hankyu, Kentetsu, Nankai"

Also Keihan. And most, if not all, of these companies have huge land and real estate development projects generating non-rail income all up and down their lines.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 10:04:07 +0000

Something doesn't add up. The entire Japanese healthcare system is built around the idea that preventative testing for asymptomatic conditions is effective. You can read all about it, if you want.

Personally, I think you've swallowed some kind of health insurance industry black pill, whether you know it or not.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 10:01:28 +0000

I don't think there's much difference? The technicians that perform the tests are not doctors. You usually see a doc for 5 mins at the end, to discuss any anomalies. Even then, they're just going to refer you to see your GP or a specialist. At the end of the day, the ningendoku is just information that your doctors can access. I'd much prefer a high-resolution full body scan.

Either way, the patient should make the choice about whether they want that info, not an insurance company or a know-it-all armed with a dubious study concluding that asymptomatic conditions are better left undiscovered.

New comment by nihonde in "The 2-Year Apartment Rule"

nihonde — Thu, 18 Jun 2026 08:46:10 +0000

This doesn't hold up for me in Japan. My apartment is in a building that's 10 years old now, and I've been here since it was new. Japan famously builds for a 20-ish-year depreciation schedule, although buildings like mine often stay in operation for 40 or more years. The build quality is honestly through the roof. Even the materials that are "builder quality" like unit kitchen and bath or veneer floors are still built to last, with minimal maintenance, and maximum convenience. As for the neighbors, they're mostly passing strangers. A few of them are busy bodies who love to force management to post "reminder" letters on the bulletin board. In other words, typical ultra-passive-aggressive-obsessive types. But most people that I encounter are delightful, and everyone just stays out of each other's way. Building maintenance is an old lady who tried to retire, and the building residents literally demanded that she un-retire and come back. This building is absolutely spotless and everything is ship-shape at all times. Most people own their units. I rent from the owner. In the time since I've lived here, I've bought multiple other properties, but I remain here because it's so damn easy and great.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 04:36:14 +0000

Insurance companies dislike paying for procedures instead of passively collecting premiums. Not sure how you missed that.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 03:16:22 +0000

Are you joking? 人間ドック is absolutely more than a "health checkup". Maybe do some reading: https://medical.kameda.com/general/en/ningendock/what/

> The Ningen Dock is a comprehensive health checkup system that includes a battery of tests, including blood tests, chest X-rays, and ultrasound scans, among others as well as advanced diagnostic tests as Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) or Endoscopy. These tests can help detect potential health problems early before they become more serious or difficult to treat.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 03:12:46 +0000

Rather than dealing with the issue—hypochondriacs or whatever—you prefer to remove the option for the non-hypochondriacs?

The fact that doctors like your wife think that people who are concerned about their health and want more information is a problem tells me everything I need to know about your (and her) worldview. You've dressed it up as being pragmatic, but the reality is that you're arguing for censorship and against freedom of information.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 03:06:34 +0000

In Japan, the government gives everyone a battery of full body tests at least once per year. I guess you know better than Japan, right?

The whole argument that "you'll worry yourself sick" is such patronizing trash. It's obviously programming that came from the insurance industry, and you lapped it right up.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 02:49:23 +0000

How brainwashed by the healthcare machine do you have to be to think that catching asymptomatic medical issues is a bad thing? The argument against is literally:

- patients will worry too much, and - it will cost time and money to investigate.

Both spurious rationales cooked up by an industry that is at least as hostile to humanity as it is helpful.

New comment by nihonde in "Midjourney Medical"

nihonde — Thu, 18 Jun 2026 02:43:23 +0000

"What possible use could there be for doing this?"

I've encountered this attitude before, and I always find it perplexing that there are people who are annoyed by, even hostile to, the idea of frequent health telemetry.

What possible use? How about giving people greater visibility inside their own bodies without having to navigate the labyrinth of the healthcare machine and without having to justify themselves to actuaries?

New comment by nihonde in "Getting arrested in Japan"

nihonde — Sun, 17 May 2026 12:05:12 +0000

Have you visited literally any city outside Japan or Singapore lately? Law and order works, whether you like it or not. They're allowed to do it their way. Results speak for themselves.

New comment by nihonde in "Getting arrested in Japan"

nihonde — Sun, 17 May 2026 11:59:35 +0000

Charges were dropped does not mean innocent. It means the investigation determined that the case wasn't worth pursuing. Japan has strict rules about importing drugs. The lack of drug abuse in Japan is one of the reasons it's not a shithole like nearly everywhere else. Obviously foreigners are in the crosshairs for that particular category of transgressions, since they come from places with different attitudes toward certain drugs, and since they get sent stuff in the mail. You can be pretty sure that she got the message that the Japanese authorities wanted to send her.

New comment by nihonde in "Getting arrested in Japan"

nihonde — Sun, 17 May 2026 11:55:03 +0000

As if that was ever the goal. Japan is plenty popular.

New comment by nihonde in "Getting arrested in Japan"

nihonde — Fri, 15 May 2026 05:29:37 +0000

We're not talking about the US. We're talking about Japan, where the authorities are extremely conservative and cautious. Most Japanese people know how to stay completely clear of trouble. Ask yourself why this person did not.

New comment by nihonde in "Show HN: Race to the Bottom"

nihonde — Fri, 15 May 2026 04:37:48 +0000

This is just bias confirmation theater for a certain worldview.

New comment by nihonde in "Casio S100X Japanese Lacquer Edition (JP Page Only)"

nihonde — Sun, 10 May 2026 10:04:50 +0000

Oh, also, "Made in Japan" is a huge deal for a lot of people in Japan.

New comment by nihonde in "Casio S100X Japanese Lacquer Edition (JP Page Only)"

nihonde — Sun, 10 May 2026 10:03:02 +0000

This is almost certainly a Japanese product for Japanese people/companies who will give it to other Japanese people as a GIFT. Japan has a never-ending gifting protocol. People buy perfectly normal beer in a fancy box, to give it as a gift. It's a nice thing about Japan that is particularly Japanese, which is probably why many of you don't understand the purpose of this product. I bet if someone gave it to you spontaneously, you'd appreciate it!

New comment by nihonde in "A Japanese glossary of chopsticks faux pas (2022)"

nihonde — Sat, 21 Mar 2026 06:10:55 +0000

No one is going to get mad at you for violating these, but they will judge you. If you're trying to get along with a person from a proper Japanese family, you'll fail unless you know all of these and more. For example, placing bowls/plates on the table too hard, or not trying hard enough to pay the bill, not serving others, pouring your own drink...the list goes on and on. Most people think these things are silly, but some absolutely do not and will treat you accordingly if you're making these mistakes. Whether or not you care is up to you and the situation. This is all also true in almost every other culture, by the way.