Work @Texas2036 | Health care, smoked meats, Notre Dame, Inglewood Jacks Hockey | "Sardonic, occasionally edgelord-adjacent, contrarian hot-takes" -- Claude

Austin, United States
Guys, I flew too close to the Twitter sun, and got hacked. Now my old account @cmillernd2005 is being used for crypto scams. But don't worry. You can catch all my #NotreDameHotTakes here (and maybe some #txlege health care policy takes too).
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Charles Miller retweeted
You used to have to know how to write code to turn your expertise or idea into something that could scale and that’s no longer the case. Mastery of engineering was previously the barrier to success in the digital marketplace but that is no longer the case. What a time to be alive!
What’s happening in the AI-powered reverse engineering and decompilation is absolutely insane. Pretty soon all software will be de facto open-source. AI is coming for everything and everyone.
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Charles Miller retweeted
If you run a company, you now have a fiduciary/legal responsibility to make sure your healthcare benefits actually benefit your employees. If not , you are legally liable. You have to learn how it all works. You can’t ask a broker or consultant to figure it out for you. The responsibility stays with you and never goes to them. Even if they lie, steal and cheat you. It’s all on you.
I hope you’re sitting down for this. hcamag.com/us/specialization…
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Charles Miller retweeted
The gap between insane model capabilities and somewhat ho-hum real-world consequences of those capabilities continues to interest me. The AI prophets seem to have nailed the rate of model improvement but overrated the near-term impact. The unemployment rate is low, financially or infrastructurally devastating cyber attacks seem blessedly rare, etc. Maybe we’re in a kind of Engel’s Pause but for real-world consequences, or maybe the better theory is some kind of Messy World Hypothesis where it’s really really hard for new technology to leave its mark, bc the world as it exists is a museum of inertias and frictions.
After a brief but institution-eroding slop science era, it increasingly looks like we are going to have two revolutions from AI: 1) Everything ever published will be re-read and re-judged in ways that human scientists never anticipated 2) Novel discoveries will start to come fast
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Charles Miller retweeted
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Charles Miller retweeted
Welcome to my theory on traveling with children. ~1-3 is the hardest time to travel with kids for a variety of developmental reasons, and the windows before and after that are actually much easier than the general population would assume.
traveling with a 2.5 year old and a 4 year was 10x, 100x, possibly 1000x easier than traveling with a 1.5 year old and a 3 year old
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Lack of fairness and transparency in medical billing practices absolutely impacts people's willingness to utilize care. Medical professionals have got to take back control over billing from their corporate outsourced billing offices. Otherwise rational people will avoid them if at all possible.
Replying to @tracewoodgrains
I dunno, I dragged my feet on a physical for like a year, then I went and this happened. Maybe I just go back to treating doctor's offices as land mines and avoiding them as much as possible?
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Happens all the time. Even happens when you don't ask questions, but the practice is under pressure to generate billable events. All of a sudden ear infection diagnoses show up even if neither you nor your kid complained of any symptoms, nor asked for any medication.
It's honestly really hard to adjust to the civilian medical system after coming from the military one. Like - what do you mean I have to avoid asking any questions during my annual physical or you'll hit me with a $420 surprise bill insurance won't cover? People tolerate this?
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Our long national nightmare is over.
Claude now works inside Google Docs, Sheets, and Slides, and those files also open inside Claude. In Google Workspace, Claude sits in a sidebar next to your file, reads what you have open, and edits it in place. You can approve each edit before it lands.
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Bigger deal than it should be.
We are making Markdown files work natively across Google Drive and Docs. You can now preview .md files in Drive, open them in Docs, edit them, comment on them, and collaborate without converting the file into a Google Doc!
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Charles Miller retweeted
Utah unveiled 3 new AI sandbox participants this AM: 1) Nolla Health, using face photos for acne Rx's 2) August AI, another refills app 3) Expect Fitness, pelvic floor physical therapy FDA's discussion paper on generative AI-enabled medical devices gives some indication of their thinking. But there's still ambiguity in how FDA will interface with and learn from Utah and other state sandboxes as they get set up. Even if states allow AI to prescribe the feds / FDA still have statutory authority over this area and all the sandboxes live (or die) by their grace.
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I give the BYU folks on here a lot of crap, mostly because they haven't been competitive in a game that matters in a long time, but this diagnosis of a problem is absolutely correct. A 24 team playoff doesn't really solve that problem though and just makes a lot of other things worse. The selection process itself is obviously corrupt, and needs to be fixed. The entity/process that decides playoff inclusion should not be contractually tied to put on an exclusive TV performance for a network with a vested interest in the outcome. The decision-making process should be fully independent. I'd prefer an algorithm agreed upon in advance of the season.
ESPN and the AP Poll’s naked over-ranking of SEC teams is what’s forcing the Big Ten, Big 12, and ACC to push for a 24-team playoff. If access was fair in a 12-team playoff format, cool. But it’s corrupt. ESPN and the AP Poll make the SEC feel entitled to 6-8 CFP spots.
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Charles Miller retweeted
The only generation that knows how computers work is also the most relaxed about AI:
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How is this guy a cfb reporter for the athletic?
Replying to @_FCS_BASKETBALL
If your final destination is either the Orange Bowl or Citrus Bowl, not much difference. If it’s the CFP or the Citrus Bowl, it’s the NCAA vs. the NIT.
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Some truth here, but I think Ethan over-estimates the extent to which individual workers are utilizing AI effectively, and the extent to which "using AI better" is a skill as opposed to an aptitude. The organizational bottlenecks are real. But I don't suspect most workers are close to hitting them.
I think this advice is not as true anymore: 1) the durable skill behind “using AI better” Is unclear as AI gets easier to use 2) Increasingly, organizational systems bottleneck AI gains not individual workers 3) The effect on jobs is uncertain but may impact entire job categories
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This is probably more about the Curt Cignetti effect than anything to do with post-season size. I'm against expansion for the record. I just think a lot of teams who have suffered through endless 7 and 8 win seasons and being told by their athletic department that [Narduzzi/Stoops/Doeren] is doing a great job, and the fans should be happy with that crap saw *INDIANA* make the playoffs in year 1, and win the natty in year 2 of a new coach.
We used to be able to celebrate and be excited about making a bowl. 40-50 teams used to end the year feeling good about their seasons or at least OK. The postseason being this small leads to this.
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Charles Miller retweeted
"Do not bet against the airplane. The skeptics who say AI can't conjecture, can't theorize, and can't explain are describing last spring's models. Within months, they will be describing nobody. The evidence is already on the table, and those with eyes can see it."
Reading all those recent beautiful essays by Terry Tao, Kevin Buzzard and @wtgowers, I could not resist, but write up my deeply personal perspective on how I perceive and see things: docs.google.com/document/d/e…
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Charles Miller retweeted
Not trying to oversimplify things, but ….
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Charles Miller retweeted
Michigan’s ATS record before, during, and after Stalions. #GoBlue 〽️
Final | Minnesota 20, Michigan 14
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Yes, more accurately this.
Replying to @CharlesTXPolicy
The City sued the State in a bond validation suit pursuant to Ch. 1205, Gov. Code.
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Wow
CJ CARR DRILLS THE CROSSBAR 🎯 @PatMcAfeeShow will donate $250,000 to a charity of CJ’s choosing 👏
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