I mean, admin costs at hospitals are ~25%, around half of that is directly linked to billing. Administrative costs in the US (because of course you have the same costs on the other side in the insurance side) are around 30% of cost in general, which is pretty insane.

The lack of regulation around pricing transparency and generally the lack of one-price-per-code (which the government uses to its "advantage" to get lower medicaid/medicare rates for sure) is what has caused this stupid arms race on both sides.

It’s 2026, they’re more like 140 year old by now :)

> now crammed full of people and cars

Funnily enough, if you look at the 1950 census, in every single building I have lived in in San Francisco, there were more people than there are now :).

The city has so much underdeveloped land (come on, 2% of of the surface of of the second densest city in the US spent on the lowest density sport ever, golf???), tearing down our heritage does not make sense when we have so much usable space.

you are, obviously, interpreting the law to fit your narrative:

""The fact that an alien is the beneficiary of an application for a preference status filed under section 1154 of this title or has otherwise sought permanent residence in the United States shall not constitute evidence of an intention to abandon a foreign residence for purposes of obtaining a visa as a nonimmigrant described in subparagraph (H)(i)(b) or (c), (L), or (V) of section 1101(a)(15) of this title or otherwise obtaining or maintaining the status of a nonimmigrant described in such subparagraph"

All this means is that you, indeed, can be dual intent and apply for permanent residency while holding a H-1B, like generations of Americans have done before ourselves.

I mean, humans sleep and do other things than work, so they likely don’t hit their weekly limits or their 5 hour limits every single 5 hour chunk :)