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Cake day: June 30th, 2023

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  • You can also use komf alongside komga/kavita to just scrape metadata automatically upon import. A bit finnicky to get going (a tampermonkey script is required to give it accessible setting on the komga page) but works very well and even has a gui for identifying results and selecting the correct option if the auto scrape fails similar to jellyfin

    For the actual reader part I just use komga as a server and read through Mihon (one of the tachiyomi forks) on my ereader mostly. occasionally I’ll use paperback on my iphone (although recently I’ve been trying Tachimanga, which is basically an iOS tachiyomi fork). Loads library, can sort by tag/library/date added, reads most things very well, can sync read status with the komga server (and/or manga updates or whatever), etc.



  • There’s evidence that trigger warnings actually worsen anxiety and are counterproductive

    The way to treat anxiety is to face the source of anxiety to try and change your relationship and reaction. The best way to do this is via controlled access that exposes one to the trigger gradually in a context that has no risk of harm (eg a media depiction, discussing the concept, building up to discussing the source of trauma that led to the phobic response if applicable)

    Trigger warnings enable active avoidance. This sensitizes one to the aversive stimuli and makes the phobic response stronger. As a result when one encounters the stimulus (eg a friend, family, celebrity etc commits suicide, suffers an eating disorder, etc) your resilience to the trigger is now even lower and the response is more likely to be more significant than it was before.

    That said education on access to resources like 988 or other warm lines can lower suicide rates, maybe. Research is more mixed here because it’s difficult to prove causation


  • Then if you’ve met your deductible the big question is if you have a coinsurance after the deductible is met and an out of pocket maximum.

    If your coinsurance is 60% or 80% or whatever, you won’t be responsible for the full bill but only that percentage of it.

    If you have no coinsurance (a no charge after deductible plan) the service should be covered 100%

    If you have coinsurance you should have an out of pocket max, which once hit should end the coinsurance and make services covered 100%. OOP max is typically quite a bit higher than deductible, sometimes 5-7x as much, but not always. It’s plan specific.

    If your employer pays 50% that is an arrangement they have worked out and the specifics will be tied to your companies contract. This could mean they would pay 50% of any bill (unlikely as this is not a fixed cost they can plan for. Maybe if you’re like a ceo or some shit) or it could mean that up to your deductible they’ll pay 50%.

    Also keep in mind even if you’re in a “covered 100%” scenario there are some instances in which you would still get billed:

    Differential vs contracted rates - if the hospital charges $5000 for your procedure but your insurance only pays $4600 the hospital can sometimes bill you for the difference. This is not always the case; some contracts require the servicer (doctor) to accept the contracted rates and not charge more. Most common reason you’d get a bill in the above 100% scenarios and also the reason the math might not work out in coinsurance scenarios. Eg in the above surgery example your bill would probably be $1320. It should be 920 as that is 20% of the $4600 paid, or even $1000 as that is 20% of the 5k billed, but you pay the 920 as 20% of what your insurance paid plus the $400 difference, so $1320

    Out of network providers - these can often have a separate deductible and sometimes in hospitals a provider can be out of network even though the hospital itself is in network

    Non covered services - if the procedure involves a service that isn’t covered (uncommon)

    Billing errors: if a bill looks wrong contest it and if your insurance isn’t reimbursing providers properly complain to them. Sometimes a medical office gets your info wrong and assumes your deductible or coinsurance is active when it shouldn’t be. Sometimes your insurance makes similar mistakes.


  • one of the most frustrating aspects of being a therapist in america in the past 10 years is the hand waving of the ethics involved in the financial renumeration of our relationship with those we serve

    I would say a significant stressor for the overwhelming majority of the clients I have is financial woes. And because the system is backwards, those with high paying jobs well into their career tend to have the fancy PPO plans with no deductible where seeing me (or anyone) is only $10 despite the fact that they could much more easily afford a 5-10k deductible. Meanwhile the people who are making 20-50k a year on the other end of the spectrum almost always have those high deductible plans with sometimes massive deductibles and rarely have employer funded hsa.

    I’m not an idiot, I run my own practice and I do the books for it. I can do the math to figure out how much take home pay someone has with those salaries. I can also conceptualize the cost of housing, food, phone, transportation, etc because I am also paying these things. So when I meet someone here and their appointments are $140 per meeting I am in a tough spot. I am asking them to take on a burden of $560 per month (assuming weekly sessions). That’s immense. And if the deductible is 5k, 7.5k, 10k, it will take ages to meet especially if they’re younger and not really making contact with many other medical providers.

    I am contractually obligated to charge what your insurance pays me in these instances. If your insurance pays me $140 for the hour I have to charge you that until you hit the deductible. I could be dropped from the network if I modify this for you and get caught.

    I can ask you to skip using your insurance and charge a lower out of pocket rate but this is complex. For one, many therapists can’t adjust their rate much lower. I have flexibility here because my practice is entirely telehealth so my overheads are much lower. But if you see them in an office? They are paying about 40-50% of that just in rent most places.

    Additionally even with telehealth I have to be careful with adjusting rates. Insurance only pays me for specific timed and coded sessions. If you and I have a phone call for 25 minutes? Not covered. If you ask me to collaborate with your psychiatrist and I talk to them for 40 minutes? Not covered. The time I spend dealing with billing and this system, which works out to an average of 20-30 minutes per session? Not covered. So the 25% of my week doing billing shit and the overtime hours doing phone check ins, case collabs, etc. has to be covered by that.

    This is why many therapists give fee schedules and charge you for all of these things. If you want paperwork from them it’s $1 a page, phone calls are $75/hr, etc. I can make it work without this because I’m not paying for office space but if I was I would need to do this to keep myself afloat.

    This is also part of why many, many therapists simply don’t take insurance anymore. Just pay me the $140 directly. I can collect it via square or whatever and your billing is done. I no longer spend 5-10 hours a week on billing nonsense like fighting retracted payments, finding out why claims were denied, etc. You can submit receipts for out of network reimbursement and you deal with them.

    I understand why my peers do what they do. But ethically it’s a mess. I signed up to help people and what I have become is a gigantic cash sink that puts a tremendous amount of pressure on the people I serve and is counterproductive to our work.

    At the same time I deserve a fair salary for my work and this is the only way to get it. And if I protest the system by leaving it because it’s so broken then the end result is that there’s 1 less mental health provider who takes insurance. If I stop taking insurance altogether I alienate a ton of people with high need who can’t afford to pay out of pocket forever and/or don’t know how to navigate out of network reimbursement.

    I cannot tell you how many times I do a screening call with someone and they say “this sounds like what I need”, they tentatively schedule, and then once I run their insurance and give them the actual numbers of what treatment will cost they simply ghost. It is a system that actively deters people from seeking assistance because it is so cost prohibitive

    And the insurance lobby has its fingers so deep into the framework of america that this will simply never be fixed. It will only be changed. Look at Kamala Harris’ proposed Medicare for all: it still allows private plans. That will be a movement in the right direction because it will end the idea of someone being “uninsured”, which is great, but it will also create a two lane system in which many practitioners will do whatever they can to avoid taking basic Medicare patients in favor of the commercial plans. Commercial plans, at least in my area, simply pay more. Significantly more. Like $80/hr vs $140/hr. And in the end I will have the same problems because the unnecessarily complex private insurance system will still exist and be very powerful. I will just have one more insurer to add to the web of complexity. But no politician will ever remove the private health insurance industry. To do so would alleviate so much spending waste, so many wasted administrative dollars and man hours, but it would also result in layoffs of hundreds of thousands, if not millions, of americans whose jobs rely on processing the complex bullshit of this system


  • your scenario is either worded incorrectly or very atypical (which is very possible, there are a lot of different insurance plans in the us

    typically high deductible plans work in a way of “meet your deductible and then we cover x% after that”

    eg I am a therapist, I bill your insurance $100 for an hour session. You have a $1000 deductible with 80% coinsurance.

    Our first 10 sessions will cost you $100 out of pocket, which goes to me directly. I submit billing for these sessions but get no reimbursement from the insurer because you have already paid the full amount. However, my submission of billing indicates to the insurer that you paid $100 for a medical service on whatever date for whatever diagnosis.

    After the $1000 deductible is met your insurance splits the bill with you 80/20. Now you pay me $20 per meeting and when I submit the billing the insurance (hopefully) pays the other $80 to give me the $100 per meeting I am owed.

    This of course assumes no other medical spending goes on for the duration, otherwise you would hit your deductible faster. If you saw me 3x and then had a surgery that cost $5,000, you’d pay $700 for the surgery to settle your deductible plus an additional $860 (20% of the remaining $4300) and then sessions would be $20 under the 20% coinsurance.

    You should also have an out of pocket max, this is kind of similar to a deductible but it is different. This is a tally of your total spending and once you hit it your coinsurance usually drops and you pay nothing.

    Also important point is that deductibles reset every plan year. This should have been made abundantly clear to you but I still encounter many who do not know this

    Additionally your insurance may have certain services covered that don’t cost you anything or where the deductible doesn’t apply (eg you’d only pay 20% even if it’s the first appointment of the year). Typically this is preventative care, things like physicals and vaccinations

    That is the most typical. But like I said it there are many plans and variations. It’s possible you have a plan that prior to meeting the deductible you pay 50% of billing and then have a 0% coinsurance. This would be really great insurance.

    It’s also possible that you have a benefits package from your employer that is basically paying 50% of your deductible in a roundabout way. this is far more commonly done by the employer funding an hsa/fsa account which would be a payment card that you use on medical spending and not the insurer. However, I have encountered plans where the hsa and insurance were rolled together and joint companies, where the hsa would pay all or part of billing prior to deductible on the patients behalf

    Using the same examples above you’d pay me $50 until you met your deductible, then nothing once the deductible is met. If you had a $1000 deductible, saw me twice, then had the 5k surgery you’d pay me $100 and $900 for the surgery. If you have one of the situations where the employer is covering 50% of the deductible it would be the same but the surgery would be $400 because ultimately you’re only paying $500 of the $1000 deductible and your employer is covering the other half. This is not a situation I’ve ever encountered

    Another important point is that deductible status is dependent on your providers doing timely billing and your insurance processing said billing in a timely manner as well. This does not always happen. As a result you may meet your deductible but my billing verification shows that is not the case. The examples I used above were clean and easy but it’s never that simple. Most people have a deductible around $2500 (and many 2-4x this) and see several different healthcare services.

    I submit my billing at the end of each day but some places are sloppy and will take weeks to submit. This can lead to situations where you are charged money because I was under the impression you had a deductible but you should not have been. Eventually the insurer will pay me once things sort out. If I am good at record keeping (I am great at it for this reason) I will catch the double payment and send you a refund. This is why it is important for you to keep track of deductibles and medical spending. Not all offices are managed well. I’ve personally had money stolen from me (because this is literally fraud, to not refund the double payment) and I don’t believe it was ever intentional, just offices with shitty management. Let your providers know if you’ve met your deductible. I will always hold off on charging you if you tell me this, submit billing, and see what the insurance reimburses. If they reimburse me in full then you were right. If they don’t I send you a bill and if that is incorrect you need to call your insurance to complain

    You should be able to track deductible and out of pocket spending on your insurances consumer portal (eg go to Aetna.com or whatever and click “for subscribers” and make an account, if you haven’t already). This should also give you an explanation of plan details.

    Most importantly you should be able to call the office of the place (or billing dept if it’s a larger health network) doing the procedure to have their office manager check what you will be expected to pay for the procedure both at time of service and expected cost total. This takes only a minute but be forewarned it is essentially an estimate and not a guarantee. Billing can change last minute depending on how the procedure goes (eg added complexity allowing them to add another cpt code for something)

    There’s a lot more to it than this unfortunately. Some plans have tiered deductibles, sometimes a staff member in a hospital isn’t personally enrolled and then are considered “out of network”, which is a whole other thing, sometimes you are still responsible for a certain services that the provider requires but the insurance refuses to pay. That last point especially: every time you establish with a medical office or get a procedure you sign something that says you are financially responsible for services not covered by insurance (I guarantee this, every time). So if you get bloodwork with like 30 tests and 2 aren’t covered even if you’ve met your out of pocket max and have the best insurance in the world you’re getting a bill (and potentially a hefty one, some blood tests are extremely expensive)

    Sorry this is very long and complex but that is kind of how insurance is? To boil it down to a “eli5” 2-3 sentence explanation would either require your specific plan information in much more detail or to overgeneralize and potentially mislead you.



  • A school district spends $180,000 (hyperbole, I don’t know actual numbers) of taxpayer money deploying this system between the actual hardware costs, maintenance costs to install the hardware, it costs to implement it into their network, and probably an ongoing contact with this dummy’s company. Maybe only for support but with the way things are now I’m sure they built this app to phone home to their servers (introducing a huge potential security risk over simply running it locally on the schools existing network infrastructure in a docker or something), calling it “cloud based”, and charging the district 1k/month to run the devices the district now owns and should be able to operate without the company. The company then talks about how they’ll back up records and safeguard data so you don’t have to worry about that (that it dept you pay is pointless!)

    Three months after deployment it turns out the sensors can be tripped by many things not related to vaping, maybe increases in heat, mouthwash breath, etc. the false positives are due to a hardware flaw and cannot be fixed with a patch. Feel free to upgrade to sensor version 2.0, now with improved accuracy! (read: the problem still exists but isn’t as bad). Only another 40k to buy the new hardware, rip out the old hardware (which is now worthless), install the new stuff, and configure the software for everything (again, maintenance and IT costs)

    9 months after deployment the company is doing poorly because their product is stupid and only a few idiots actually bought it (way to go idiot). There’s concerns because they sent a new Eula that outlines data sharing policies. They are potentially finding ways to harvest the data they agreed to safely store to try and create a new revenue stream to right their sinking ship. District counsel says fighting the Eula change will be expensive and there’s not much precedent for it, plus they state they will anonymize data before sharing so it’s not a ferpa violation, technically. It feels scummy but you can’t do anything about it. You also don’t really trust them to only sell anonymized data but you can’t prove they aren’t crossing that line so whatever, I guess

    15 months after deployment they get hacked because they’ve run out of vc cash, never could get an actual profit stream going (turns out they’re spending 750,000/yr on salaries for 5 people and they’re all kitted out with sick work computers for what is basically coding a web app, but I digress). security of their servers was one of the budgetary constraints they chose to make to right the ship (but had to keep the $1800 office chairs and the 15-20k/mo rent loft they use as an office in a hcol area). The contract says this may happen and they’re not responsible unless there’s gross negligence on their part, which you can’t prove, and that they do some bare minimum reactionary shit after the fact to mitigate damage. So they’re legally blameless and now you get to notify your community their children’s data was leaked to god knows who, whoops

    22 months after the fact they go out of business officially. You get a form email about the company’s journey and the difficult decision they had to make to stop fucking around on a dumb project that sucks because no dumbass vc will give them fun bucks anymore to keep playing tech bro billionaire. All the sensors stop working because they require a connection to the servers, which they shut off immediately without a sunset period. You’re reminded every day when you log in to the schools admin panel and get 350 “sensor not connected” error messages and your students bitch about the “sensor not connected: server not available” error pop up showing up on their classroom console. It takes IT a few days to remove their shit from the network and that costs you even more money in wasting your IT staff time when they should be fixing the broken computers in the computer lab or whatever.

    Now your school has a bunch of weird boxes on the wall. Sometimes people ask you about them and you go “oh those don’t do anything” and remember that they cost taxpayers in your community tens, if not hundreds, of thousands of dollars and wasted hundreds of hours of your supports staffs time that they could’ve been using to improve the school

    But then you scroll on instagram and see there’s this new thing that will detect when kids are bullying each other. You just have to put a camera in each classroom. It’s okay, it won’t record. It will just use the power of AI and machine learning. You’re sold right there and the cycle starts again


  • Advertising is cancer and the reason to believe the slippery slope fallacy.

    Every single time advertising enters a space it claws its way in with a wonderful pitch: allow us to have some small space to promote our products and in exchange we will give you some money to do whatever it is you’re doing here.

    If the medium is in any way popular enough to justify the investment advertisers will continue to do so. However, they will always get greedier. They will demand more time, more space at first. They will then run statistical analyses and demand sensitive data on your customers to help them maximize their investment by targeting their advertisements. They will demand you make changes to your platform if possible to accommodate more granular data collection and more ways to serve targeted ads. They will demand the changes to your platform to the nature of serving ads to make them more obtrusive and harder to ignore, again to make their investment “more worthwhile”. They will influence and infiltrate businesses/conglomerates to help spread their cause

    Look at literally any evolution of ad space. Look at newspapers, radio, television, webpages, youtube, paid streaming networks.

    A web page in 1994-6 rarely had ads at all, in 1998-2000 you started to see them infect the space. Banner ads were there. Tolerable. But very quickly the ad men realized how useless this was. They were simply ignored by most people and even back then there were already early modifications to block them.

    Then it became out of control, fast. Interstitial ads, affiliate marketing, sponsored posts, reskinning entire websites (oldheads might remember when IGN became McDonald’s themed for a few days and caused an uproar), sponsored links in search engines, SEO, etc. all creating the hellscape of an internet we have now; where 5 websites control like 85% of the traffic, searching for things is impossible, there are no more real communities because everyone’s too busy watching 30 seconds videos served by algorithms to keep them angry and engaged with the platform (but also lets complain about how kids can’t get off their phones while literally allowing these scumbags to design media to entice them into staying on forever)

    If you allow ads onto your service you allow your service to be destroyed. The only exception to this is if your service never becomes popular in any way. and even then they’ll probably still do it because they’ve got most of this down to a science at this point. There are vb forums with 3k members that have insanely intrusive ads and sell member data

    advertisers steal from you every day and want more despite this. they drive consumerism, debt, avarice, political divides, etc. destroy the advertising industry to heal the world. if your child decides to go into advertising you’ve failed as a parent.






  • I don’t know specifically for that state but in many states legal and medicinal weed has been overtaken by a few companies that are quickly buying each other up and rapidly expanding into other states as quickly as they can. in true American fashion the minute weed is legalized nationally we will essentially have the groundwork laid for giant weed conglomerates, the weed equivalent of walmart. keeping prices as high as possible, lowering product quality, and making the experience worse overall. I wouldn’t be surprised if they either were ready to expand into your state directly or had subsidiaries that would, probably lobbied hard to do so long before the law passed

    when I was on the west coast a while back legal weed was cheap as fuck and great. dispensaries were all over and randomly named. I’m sure there was intense rivalries and people pushing to consolidate but you could get stuff dirt cheap that was great. nothing like what I’m seeing here on the east coast with companies like curaleaf, truelieve, etc that charge $40-60 for a gram for shit that’s just okay. I quit smoking a few years ago though, maybe it’s better now, but I doubt it



  • Do you rent or own your place? If you have the ability to run Ethernet drops to camera points imo the best solution by far is to get poe cameras. Amcrest/reolink are good options. You’ll need a poe switch, this can be expensive but you can pick them up cheap used if you look for old ones sold as ewaste. I got mine for $40 and it has 24 ports which is far more cameras than I’ll ever need.

    Similarly, you can get a nvr, which is basically a poe switch with a built in management system and a slot for a hard drive. These can be a couple hundred. Or you can get an old ewaste pc, like literally an $50-$100 sff core i3 pc from an office off ebay. Thow a decent sized hard drive in this, the bigger it is the more recording you can do. I have this connected to my home server for storage so if you have a home server/NAS that’s also an option but not necessary, just gives you more record time and eliminates the need for buying a computer to act as a server.

    Then software to tie it all together: ZoneMinder Moonfire NVR Frigate MotionEyeOS OS-NVR Are all good options Also closed source options like shinobi, I spy, blueiris, and a ton of others

    Not revealing my specific setup for opsec

    This imo is the best possible setup. For one, it sounds expensive but ultimately costs just a bit more. You can get super expensive poe cameras but comparable poe cameras to wyze/eufy/etc are often a bit cheaper because they don’t have the WiFi nonsense built in. Of course, you pay that back with the switch and server.

    But the bigger thing is reliability and customization. Before this I had a eufy cam setup. They were wireless which was admittedly easier to setup, no fishing wires. But every couple days I’d get notifications “camera x is unavailable” for no reason. My home has a very solid mesh WiFi network with several APs. The cameras are just shit and drop connection randomly. Sometimes they’ll be on for 4 weeks straight, sometimes they’ll disconnect 20 times an day. If you have a setup with 10 cameras it means one is always doing it.

    Then eufy came out and was server siding thumbnail id images, despite claiming to never do this. Then they doubled down on this, and took away the guarantee that they wouldn’t “cloud” your shit. Essentially they would do “ai” facial recognition server side because their little base stations aren’t powerful enough. They’d then store thumbnails of recognized users for future id purposes. This caused me to sell the eufy cameras and go poe. The poe cameras work in an isolated vlan, eg the cameras and all their features work without a connection to the internet and I can tunnel to my server to view them remotely. You don’t need to have this setup but I’d recommend it if you can

    Finally going off the above with your own server and your own hardware you can do whatever. Eufy had ai recognition but it was shitty. I’m sure it’s improved a bit. I’ve found running the models locally appears to be better, more features like yard perimeters, object detection, etc. you can also separate the ai model from the nvr software, etc. frigate is an interesting potential here, still needs some growth wrt object detection but if they get it a bit more mature imo will be a serious contender


  • Cloudflare has absolutely told websites to fuck off because they don’t like their content. They haven’t done it a ton of times but they absolutely have. No one cares because the sites they’ve done it to are toxic cesspool shitholes that, to be fair, the world is probably better off without. But each time it showed that cloudflare can simply wield its power if it feels like it.

    If your site becomes controversial in the future and is protected/hosted by cloudflare don’t be surprised if they suddenly send a letter saying “fuck off”. They’ve become arbiters of internet censorship and we have accepted it because the daily stormer and kiwi farms and 8chan are bad.

    The ridiculous part is all of those sites are still accessible; daily stormer and kiwi farms both still accessible from clearnet (iirc 8chan is tor only) so cloudflare dropping wasn’t even all that effective. Well funded hate speech found a way. But for the next ones that don’t have major alt right cash behind them to fund cloudflare alternatives they’ll just simply disappear. And then we will have the internet where corporations like cloudflare, who should absolutely be content agnostic, decide what we can and cannot see. You may think it’s fine right now because they’re doing it against websites that are admittedly gross and terrible, but what happens when they overstep and the line blurs?

    They should act like a proper tier 1 provider: find evidence of crossing a legal threshold, get a court order, and terminate service if something that bad has occurred. Anything less and they suck it up and honor the contract they signed. They haven’t, so fuck cloudflare. The internet is an amazing place but it’s also a disgusting abhorrent cesspool. Don’t get involved in hosting it if you can’t deal with that.


  • Flac 44.1 16bit level 3. Host with something that meets your needs. I have my files in jellyfin and navidrome and can then access the library remotely either through jellyfin web client, navidrome web client, substreamer, Finamp, kodi, etc. but this way if another amazing format comes up down the line I will always have my library in a good state to transcode from. Tag and sort everything with beets.io (or musicbrainz picard is great, I just like that beets is cli). This results in a library I can access on my phone, laptop, tv, carplay, etc

    Technically you could go for 24bit but imo the extra file size isn’t justified. though one could make that argument for flac vs 320cbr mp3, transcoding 320 mp3 is more likely to create artifacts, thus the reason for keeping around flac

    Alac may be easier for you if you use mac


  • Or if you have an old machine and a enough money to by a few hard drives (which you should if you can afford a synology) throw the drives in the old machine and slap something on there. Truenas, Proxmox, unraid, etc. unraids probably the easiest but it costs money. All of them have some kind of docker/kubernetes so you can just run whatever open source version of the thing you want. Nextcloud, libreoffice, etc. you could just install some version of linux too, doesn’t need to be one of those, but those are much simpler to deploy and (most of them) are tailor made for the task

    Synology can do all of this too but isn’t as expandable. Want more power to run a jellyfin server and transcode 8 4k streams at once? Plop in a gpu or better yet upgrade to an intel with quicksync for low power usage. Want 8 more hard drives? Change the case and add an hba. Want 24 more? Add another hba and a disk shelf, as long as your motherboard has enough pci lanes. It doesn’t? Upgrade it. The trade off is usability, the synology stuff is easier to use. It’s also more expensive initially, you can make a basic nas with a $50 e waste pc that an office was throwing away (though tbf you’ll probably spend a bit adding disks to it just like you would with a synology)

    Depends on how much of a dork you are I guess