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joined 4 months ago
[–] ___@l.djw.li 4 points 3 months ago

Underrepresented at best, at worst it’s arguably too easy to forget that Alpine is more than just container images.

Not sure how to solve that problem, it’s my go to for rolling an image but wouldn’t normally make the shortlist for standalone machines. In a prod env, that’s basically Deb, RHEL derivatives, etc. In a personal env for me, Arch derivs tend to win out on non-critical services if only because I invariably learn something useful that I wouldn’t want to learn in prod.

[–] ___@l.djw.li 4 points 3 months ago

That sounds like true freedom, and also like something I wish deeply that I had time and energy to make my daily driver - I’m a purist, but I’m also a pragmatist and i can feel the burnout already.

Respect for using it as a daily driver - even for a personal only machine, that’s a pretty high bar, especially long term.

[–] ___@l.djw.li 2 points 3 months ago (1 children)

It does sound horrific, but mostly because it would be poorly executed by many devs.

Well, and the seeming trend towards install commands that look like curl $file.sh | sh

But if they’re not actively encouraging that, I see no issue with a well maintained install tool, created from well maintained toolsets that work on essentially any platform.

 

I dug a bit, and this seemed the most appropriate place to post this, as it’s a bit of an odd ask.

American here, recovering from surgery and so with time on my hands - your Commons presents quite a cast of characters to the world, some of them come across more effectively as caricatures than actual serious politicians. Not that our Congress is better, but at least yours have some general courtesy and a little self deprecating humor.

During the Brexit debate, a number of folks stood out to me, and it’s now been long enough there are some decent books on the same. Is it too soon to “book club” something like Bercow’s autobiography, Seldon on May(not) at 10, or the like?

Johnson feels very much too soon, given the parallels to our own former President, but I’d also like to tackle Ashcroft’s Jacob’s Ladder - speaking of people who are more effective as caricatures!

If there’s a better place to put this, or an existing group I’ve somehow missed, please let me know.

To me, trading thoughts on the outsized characters from different perspectives sounds like fun, and possibly fun that will stretch my brain back into shape a bit while I’m stuck recovering.

[–] ___@l.djw.li 15 points 4 months ago (1 children)

I went into a smidge more detail over on my Mastodon last night, but my response is summed up as “WTAF? No! Freeware is an explicit license, as anyone from the BBS days will recall.”

[–] ___@l.djw.li 3 points 4 months ago (1 children)

American here - our FEC takes a very dim view of satirical and otherwise non-existent candidates who file the paperwork to run, which makes me curious... If the Count were to win, who would actually take the seat? Have we any idea who is behind the (highly effective) satire, and would they be able to seamlessly serve?

[–] ___@l.djw.li 1 points 4 months ago

Ironically, there are two newer formulations and the older soon to be authorised generic. My PBM in their infinite wisdom doesn’t want to cover the cheaper one. My doc has yet to get a PA approved for anyone for the newest version, so I’m stuck with the version they foisted upon us as soon as original exclusivity expired “because sodium raises BP,” and the newer one is salts with other metals.

Funny how they didn’t figure that out years ago……

[–] ___@l.djw.li 1 points 4 months ago

Unfortunately not an option for specialty and niche drugs. Wish it was, I’d rather him get a cut than a certain PBM

[–] ___@l.djw.li 2 points 4 months ago

I’m mildly curious to see what happens in the next month or two, as I’m about to hit my OOP max. Never ran into that combo of scenarios before.

The one I’m thinking of has a couple months “bridge” program for uninsured/just started new job/etc, but very time limited and an even bigger hassle as they’ll only send out two weeks instead of a month supply with each shipment.

IIRC, if I had insurance and it explicitly excluded the drug, the card would cover it, but it’s been a couple years since I left that job so memory isn’t clear.

[–] ___@l.djw.li 1 points 4 months ago

None of is trustworthy. Mine is $$$$, and they know damn well insurance won’t pay it all. Of course, if the FDA didn’t require a single source pharmacy to ship it with all the infrastructure that entails, it would help, but only marginally.

Nightmare of a system even for relatively healthy folks. The older I get, the angrier I get because the people who most need the help are the ones either in enough pain they can’t nav the system, or old enough they don’t know where to start

[–] ___@l.djw.li 1 points 4 months ago (1 children)

Nobody is buying the med I have in mind out of pocket, in any world. Orphan drug, rare condition, and six figures a year.

Not to suggest your scenario doesn’t happen - it absolutely does. But I’m more curious about why I have to deal with a tiny company when they’re already eating a couple of grand a month on it.

[–] ___@l.djw.li 1 points 4 months ago (1 children)

It’s not a physical card always, it behaves like a secondary insurance payor, and if a $5k drug is covered for $2.5k by insurance, the card writes down the difference to $5 (as far as the patient is concerned).

Not unlike goodrx in principle, but specific to a drug.

[–] ___@l.djw.li 3 points 4 months ago (1 children)

As long as the reports that the C-suite gets look pretty, that’s all that matters. Have seen that one from both sides.

“I need five developer hours to implement a UI for this manual process that is time sensitive and exposes us to significant risk if we screw it up. Oh, and I’m the only one who knows how to do it in prod, so we have a bus problem.”

“Nah, I want reports…. Wait, why did we write an HO4 policy in Corpus Christie, AFTER the hurricane warning was issued?”

“See above, and prioritise things that matter.”

 

This is very, very niche, but I couldn’t think of a more suitable place so I’ll give it a go.

In the US, brand name medications are outrageously priced. There are deals between payors (PBM/Medicare) and manufacturers that look like this:

Sticker price $20,000/mo minus negotiated insurance payment of $15,000 theoretically leaves pt on the hook for $5.000/mo, BUT…

Manufacturer graciously offers a “coupon” / discount card, which covers a max of $4,995.00, leaving pt with a net responsibility of $5.00/month.

These are convenient numbers to work with, but closely resemble the pricing and coverage structure of a long-term medication I take.

The coupon never results in zero pt responsibility, always leaving some negligible amount due. Invariably, it’s exactly enough money to be a huge pain in everyone’s ass and to make no meaningful difference to anyone involved in the transaction. $5.00 and $9.00 are amounts I see frequently.

Getting to the actual question, why bother?

Seriously, I wasted a half hour of my life waiting on hold to schedule a refill on a specialty med that can only be filled from a single central pharmacy and shipped, to be told that a) they somehow didn’t charge card on file for the $5.00 last month, and b) can’t schedule next shipment until I pay the all-important five bucks. Didn’t have a card close at hand, had to call back later so they could extract their couple dollars and then schedule the next round.

It literally costs them more in toll free charges, infrastructure fixed costs, and salaries to collect that money than they make from it.

I assume the answer is something along the lines of “personal responsibility” and someone in Congress having a stroke over the idea of someone getting medicine for “free,” but I’ve been unable to substantiate that.

Convinced there is a reason, probably buried in a 10,000 page CMS policy manual, because the mfg coupon literally never brings the price to zero. See, e.g., DTC drug commercials referencing “pay as little as $x a month!”

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