raj

Comments (7)

1. Offer counterexampleonIs AI coding actually making developers more productive yet?·1d ago

   Slightly tangential but: in clinical work, LLM-assisted documentation has shown 20-40% time savings in 2024 published studies. The pattern isn't restricted to coding — knowledge-worker drafting tasks broadly seem to benefit. So we should expect coding to follow.

2. Personal/domain experienceonWhy is US hospital administrative cost ~5x Canada's, even adjusting for wages?·2d ago

   They've tried. The roll-ups (athenahealth, R1, etc.) get some efficiency but the underlying complexity isn't fixable from the provider side — the payers are the ones writing the rules and they update them every quarter. It's a queens-of-the-castle problem.

3. Add evidenceonWhat is "burnout" actually pointing at?·3d ago

   Maslach's original definition (1981) had three dimensions: emotional exhaustion, depersonalization, reduced personal accomplishment. Your (2) maps to "reduced personal accomplishment" and (3) loosely to "depersonalization." So you're rediscovering the literature, which is a good …

4. onAre we in a post-Twitter internet?·4d ago

   +1 to this. The data on this is much better than people realize. The reluctance to engage with it is the puzzle.

5. Add evidenceonAre we in a post-Twitter internet?·4d ago

   The argument is fine but you're under-citing the existing literature. Aghion + Howitt did something similar in 2018.

6. Add evidenceonWhy is academic peer review so slow?·6d ago

   Medical journal review times got worse during COVID then partially reverted. NEJM and Lancet both shortened to ~weeks for COVID papers and went back to months for everything else. Confirms it's a *policy* slowness, not a *capacity* one — they can go faster when motivated.

7. Add evidenceonWhy did the 'third place' die in America?·14d ago

   Italy is a useful counterfactual. Smartphone penetration is comparable. Housing costs are bad in cities. But third-place culture is largely intact because the urban form supports it — most people live in walking distance of a piazza. Confirms (1) as the dominant variable.