Nirbheek Chauhan
nirbheek.bsky.social
Nirbheek Chauhan
@nirbheek.bsky.social
Chained to Multimedia · also on https://hachyderm.io/@nirbheek
Singaporean CEO keeps his job?
September 16, 2025 at 7:16 PM
I didn't see Rorschach's death as a moral triumph. I saw it as a complete loss. The limited literary literacy of a teenager.

Beautifully crafted, of course.
March 27, 2025 at 7:25 AM
Today I obviously feel horror at what Ozy did, and I see that this is how many people slowly boil themselves into supporting Fascism just because it's winning.
March 27, 2025 at 6:44 AM
This can perpetuate itself & you end up with an entire pool of "senior devs" who have incredibly large gaps in their knowledge.

This is a tremendous waste of human resources, and explains a large chunk of the issues facing the industry. This happens everywhere there's lots of VC funding for 5-6yrs
February 3, 2025 at 9:08 PM
(4) is something interesting, because if enough companies do this kind of growth, it poisons the talent pool.

Junior developers who spend 1-2 years learning nothing will often go to a new company and learn how to hide their lack of experience, and keep their low output away from notice.
February 3, 2025 at 9:07 PM
3. Giving junior developers mentorship is critical, but you will not do that if you grow too quickly
4. Keeping developers pipelined with work is difficult even under ordinary circumstances. If you grow so quickly that your senior devs are overloaded, juniors can spend 1-2 years not doing any work
February 3, 2025 at 9:07 PM
I am partial towards the idea that hospitals should sell their own health insurance. That aligns the incentives correctly, at least. I think that might happen in India. The regulatory framework is sufficiently unconstrained for such experiments to be possible.
December 3, 2024 at 3:17 AM
As a consequence, insurance companies push back, turn into hyper-capitalist evil organisations that will suck from the only entity they can: the patient.

I think insurance as a concept breaks down in health insurance, as does the idea of a free market. You cannot shop around when you're sick.
December 3, 2024 at 3:15 AM
Insurance incentivizes hospitals to engage in pseudo-fraud: inflating the costs of items and needless procedures. This creates a adversarial relationship between hospitals and insurance, which is awful.

I am seeing this start to happen now in India, and I think it happened in the US ~30yrs ago.
December 3, 2024 at 3:14 AM
I've also heard that residency positions for new doctors are (purposely?) kept low, which leads to a constraint in supply, which keeps salaries high.

The very concept of insurance breaks down in the face of people's demand/need to be covered for everything, and that raises costs for *everyone*.
December 3, 2024 at 3:11 AM
This has the following side-effects:

a) Top-heavy structure of medical institutions, made necessary by (1) & (2), increases cost per patient
b) No mechanism to cut costs through tech development, due to (3)
c) Too risky to invest in new facilities such as hospitals due to (1)

etc. Very difficult.
December 3, 2024 at 3:09 AM
Speaking about the US specifically, the biggest reason is that the cost of every single thing has increased massively. Due to:

1. Onerous regulations
2. Over-litigiousness
3. Regulatory capture
4. Cost disease across all labor markets
December 3, 2024 at 3:08 AM
People in almost every country complain about their healthcare system, for different reasons:

1. The wait time is far too long
2. I can't get access to specialists
3. If I don't like my doctor, I have no recourse
4. Getting claims reimbursed is too difficult
5. Getting insured is too difficult
December 3, 2024 at 2:56 AM