in US Healthcare, prices aren't an indication of quality at all.
instead, prices are a ransom note determined by administrators
they are most definitely not a proxy for quality--which is what you'd expect in a free market--but rather a proxy for how much the hospital system thinks they can get away with
the govt shutdown is over healthcare expenses...good. way overdue to point the spotlight at this wasteful fiat system.
imyjimmy张帆
imyjimmy@Nostr-Check.com
npub19jlh...5aws
software developer in healthcare tech. into bitcoin and decentralized identity
Notes (20)
PMOs were supposed to give small pharmacies leverage. Now they’re just another layer in the stack.
Most of the big ones are owned by wholesalers anyway, so “choice” usually means picking which middleman you like.
Three wholesalers and three PBMs control almost everything. The PMOs just make it look plural.
Joining a PMO is survival math. Opting out isn’t brave—it’s financial suicide. It’s not a legal monopoly. It’s a network you can’t afford to leave.
Independents didn’t get crushed—they got slowly absorbed under “management services.” “Independent pharmacy” is now more of a tax status than an actual business model
not being a slave to lust is a key low preference hack for young men
you don't realize how boring most women are if you don't project onto her your own desires
cant sleep. tinnitus. send help 🥺
I tried out ngit for the first time the other day and was quite impressed. you go into one of your repos, define a nostr remote, authenticate your nostr identity and ngit cli will automatically upload your entire repo onto relays! actually wild. congrats nostr:nprofile1qyt8wumn8ghj7etyv4hzumn0wd68ytnvv9hxgtcpr4mhxue69uhksctkv4hzuerpde3k7mnhv9ukgetk9e3k7mf0qqs2qzx779ted7af5rt04vzw3l2hpzfgtk0a2pw6t2plaz4d2734vnggapffr
hello nostr:npub1pmzqdtnlucxkppnnw747hgyf5afx39zrc385me50f75d3kkumkvsqwwv55 👋
humans are greedy... $115k is fine. remember where we came from
woah are there a lot of bots on nostr or what
vibe coding is insane, you can one shot an entire feature just by describing it properly. key is you HAVE to be precise though
I think Nostr has huge potential to be used as an identity broker for self-custody medical apps, but in no way should we add medical jargon into relays and NIPs. in a few weeks I will release something that will (try to) demonstrate this.
Just made a chrome extension called Bitcoin Real Estate. Browse international RE on the bitcoin standard. Works on 3 Colombian RE sites so far: casacol.co, primaverarealtymedellin.com, and nomadbarrio.com
check it out!
https://chromewebstore.google.com/detail/bitcoin-real-estate/oicicfphknnlejofccimgloilodopena?authuser=0&hl=en
9/11 wouldn't have happened if open carry was allowed on domestic flights. think about it
nostr wallet connect is super interesting but it seems like i have to set it up every time i log in from a different client. is that intentional design choice (cuz decentralization) or accidental?
mic check mic check
can’t see new notes 🤔
econ jokes 😂
chaincode. self-paced seminar. 💪
lessgo 💪
tiktok needs to get a handle on this situation
everytime i hear “high value man” its coming from a total scrub