When I was on Kaiser, it was an absolute nightmare trying to get any traction. They had me do a computer test and, I guess because the results of it (which aren't disclosed to you) did not indicate ADHD, they would not consider the wealth of documentation I had ready to take a look at my old school records. I asked for a second opinion and the next psychiatrist they assigned to me was aloof and refused to consider anything, either. They did give prescribe me bupoprion which did absolutely nothing for me (though I have heard it works for others).
I'm now on a PPO plan and have been using Vyvanse for over a year now. It's lead to a dramatic improvement in my quality of life. I grieved for the time and opportunities I had lost due to not having been diagnosed and treated in childhood.
HMOs have a lot of upsides, but Kaiser's behavioral healthcare is awful (at least in the DC Metro area) and there's not much recourse unless you want to/can afford to pay out of pocket.
There's so much cynicism about ADHD even existing, even among healthcare professionals. Any time on HN any mention of ADHD seems to invite a lot of cynicism as well. That, compounded with that one of the most effective treatments for it is something that pretty much everyone can see a positive effect from (stimulant medication), makes it really difficult to navigate.
I hope that you can find a better option because it seems like Kaiser is just very antagonistic towards ADHD.
> Most of the soy sauce you encounter in the US has wheat, while in Japan (and seemingly South Korea) there's no wheat added.
This is incorrect with regards to Japan. Shoyu is made with wheat. Tamari is not. Their production process is different.
Kikkoman is the most popular brand in the West AND in Japan, which is a koikuchi shoyu, which is the "standard" shoyu type in Japan. It is made with wheat.
For me I always have Kikkoman in the fridge (especially because thats what wife grew up with) as the staple soy sauce. I like to dabble in having 1-2 other variants in the fridge at once, but they can tend to have too strong a flavor for some peoples taste. Or certain variants are best with certain dishes, etc.
I have feeling that I should do it. The difference between open bottle that have stayed outside and fresh bottle is pretty clear. Refrigeration would slow down any reactions and thus keep taste better longer.
I keep sweet soy like kecap manis and 醬油膏 in the fridge because occasionally it can catch mold otherwise. I do the same with sweet vinegar like balsamic. However I think this depends a lot on how hot and humid your environment is. In cool and dry climates it's probably not necessary.
That the system works does not mean that individual components of it are advisable. It works because it must and that is with great development effort to keep these interfaces working.
The Paradox of tolerance almost never means what the person invoking it as a rebuttal to free speech thinks it means. It's not some moral axiom that demands action to shut down problematic speech whenever it happens. It's a concept that has varied views on to what extent should tolerance of intolerance be extended and to what response is appropriate when it extends beyonds that threshold.
The most frequently quoted text I've seen is Karl Popper's writing, where he states that we must reserve the right to suppress intolerant philosophies, not that we should always suppress them.
Now, some people might have the opinion that we should be completely intolerant to intolerance and that might be a defendable position in its own right, but the paradox of tolerance is not intrinsically condoning that sort of response.
> ....It's not some moral axiom that demands action to shut down problematic speech whenever it happens.
No, that would probably end up in a logical paradox, if one were intolerant of any degree of intolerance.
> It's a concept that has varied views on to what extent should tolerance of intolerance be extended and to what response is appropriate when it extends beyonds that threshold.
I don't know enough to have a particular position on the ACLU, but at least in theory an organisation defending free speech might decide that conditions have become such that defending certain things will lead to the inability to defend other things and choose to proceed differently on that basis.
> The idea that it's somehow suspicious to be in favor of free speech has got to be one of the worst developments in American politics.
This isn't really a recent development but I think I understand what you mean. Authoritarians, regardless of their political leanings, try and sow distrust in free speech in order to garner support for advancing their agenda.
Currently, the "right" is using "free speech" as a tool to push back against the "woke agenda." So now "free speech" is becoming faux pas, at least in certain circles. Mentioning it as something you value without some long preface to explain yourself now associates you with a certain group of people, whether that group actually values free speech or not.
I think the only laptops you won't find weird issues with linux are from smaller manufacturers dedicated to shipping them like the kde laptop or system76. Every other hardware manufacturer, including those that ship laptops with linux preinstalled, probably have weird hardware incompatibilities because they don't fully customize their SKUs with linux support in mind.
Not that I'm discouraging you from switching or anything. If Linux is what you want/need, there's definitely better laptops to be had than a Macbook for that purpose. It's just that weird incompatibilities and having to fight with the operating system on random issues is, at least in my experience, normal when using a linux laptop. Even my T480 which has overall excellent compatibility isn't trouble-free.
Something like the brightness buttons not working, or sleep being a little erratic is ok. No released wifi drivers, bluetooth issues, and audio and the keyboard not working are not ok. Apple going backwards in terms of supporting Linux is not something I'm ok with.
There are wifi drivers; you just have to install them separately because they use broadcom chips. It's a proprietary blob. The other things do work, but it requires special packages and you'll need an external keyboard while installing. It's a pain to install, for sure, but it's not insurmountably difficult to get it installed.
Apple Silicon chips are arguably more compatible with Asahi Linux [1], but that's largely in thanks to the hard work of Marcan, who's stepped down as project lead from the project [2].
Overall I still think the right choice is to find a laptop better suited for the purpose of running linux on it, just something that requires more careful consideration than people think. Framework laptops, which seem well suited since ideologically it meshes well with linux users, can be a pain to set up as well.
I know there are wifi and keyboard drivers, because the live boots and installers work with them, but then when it comes to installing they're gone. I know it's not insurmountable, and 10 years ago I'd have done it, but I spent a few hours and got sick of it. I agree with you that it's probably better to get another laptop.
> why should I spend the time to for free report sth to somebody who is making money off my testing and doesn't even bother to be transparent about how things work exactly (i.e. the source)?
You don’t have to. No one is saying you are compelled to report bugs in software you paid for. Most people don’t. The benefit to you as a customer is it can help get the bug fixed. That is clearly a mutual benefit.
> If you really care about the quality of your work then maximizing the eye ball count and incentivise high qualith issue reporting.
I think you’re vastly overestimating the value in the “higher quality” bug reports you’re getting from free users. You might get some higher quality reports but you’ll mostly get a lot more noise.
You're vastly overestimating how the norms of GitHub are able to account for how things have to be. Recognizing that GitHub's userbase has a certain type of problem is no different than realizing that HN, Reddit, Tumblr, etc. all have their own respective userbases and each tends to behave in certain ways (desirable or not) that are characteristic to that group.
It's not about the meta-characteristics of a user base. By allowing anyone to create issues, you are creating additional noise. Even if the signal to noise ratio were to be higher, you're still increasing total noise.
There are limits to how practical it is to allow for more and more feedback and that threshold for a solo developer is quite low. Restricting your user base by charging for your work means that there is less noise because the only people sending bug reports are paid users.
The quality of these reports are probably lower than if you had an open issue tracker, but you are substantially reducing the mental overhead and you know the people that are sending feedback are doing so with their own interests in mind.
At any given time when I'm at a restaurant or grocery store, there's more food around and on the menu than the threshold for how much food that I as a single person can eat.
At a grocery store or restaurant, there’s no expectation that I examine every item individually, nor am I responsible for organizing the options categorically. Those are already handled for me by the establishment. My only responsibility is to navigate the choices and make a selection, and even then, there’s no 'wrong' choice, per se.
An issue tracker, on the other hand, requires active engagement from the developer. Every issue, even low quality ones, require some form of processing, be that responding, closing, or categorizing. While tools can assist a person in these tasks, the developer is ultimately still responsible for it.
I'm not saying people should only create closed-sourced paid software, but I strongly disagree with the idea that it's negatively affecting the quality of the software because there's no open issue tracker for people to post to.
It's not just github. It's every single issue tracker where users can submit feedback, some of which are almost entirely opaque, like Apple's feedback system. Look at Mozilla's issue tracker, or look at the mailing lists for linux. It's a lot of effort which simply is not worth it for a lot of people in a lot of cases.
> An issue tracker, on the other hand, requires active engagement from the developer. Every issue, even low quality ones, require some form of processing
> HTMX is doing exactly what is being described as "New-school SSR" so I'm not sure how it'd be better?
The key value htmx can provide (and maybe ParsleyJS for forms) is eliminating:
New-school SSR is similar to old-school SSR, but it does
involve a bit of front-end JavaScript logic.
Leveraging HTML5/CSS3/htmx/jQuery/ParsleyJS implies a browser can focus on its primary role - rendering content. When this approach is applicable, there is no "front-end logic" to maintain.
I think there is just more viewpoints tolerated here as long as they're not clearly inflammatory, at least when you compare it against other social media websites like reddit. It might seem over-represented since a lot of viewpoints are suppressed elsewhere.
I generally agree with your sentiment for improving education, but I don't think the limiting factor for ATCs has to do with it, but with innate qualities in individuals.
I think most people underestimate the amount of "innate qualities" from patience to creativity etc. that actually are influenced by education, parenting, etc. rather than being defined at birth by genetics.
Education isn't just about changing the quantity of knowledge people have learned - a country with good free education, along with other things like mental health support, good parenting resources/education/support, etc. will lead to more people having the qualities needed to be ATCs despite not having learned them by going to specific "managing stress 101" classes.
(Edit: It's possible I misunderstood you and by innate qualities you literally just meant the things in their explicit requirements list like being under 31 and being a US citizen, if so apologies but I'll leave my comment here anyway.)
A quick google suggests that only 35% of US adults have 20/20 vision (although I guess it might be higher if you restrict to the population of the age required) which is one of the requirements so that by itself limits the pool of applicants significantly regardless of education, parenting etc?
I'm now on a PPO plan and have been using Vyvanse for over a year now. It's lead to a dramatic improvement in my quality of life. I grieved for the time and opportunities I had lost due to not having been diagnosed and treated in childhood.
HMOs have a lot of upsides, but Kaiser's behavioral healthcare is awful (at least in the DC Metro area) and there's not much recourse unless you want to/can afford to pay out of pocket.
There's so much cynicism about ADHD even existing, even among healthcare professionals. Any time on HN any mention of ADHD seems to invite a lot of cynicism as well. That, compounded with that one of the most effective treatments for it is something that pretty much everyone can see a positive effect from (stimulant medication), makes it really difficult to navigate.
I hope that you can find a better option because it seems like Kaiser is just very antagonistic towards ADHD.