Kimi nowhere close to opus on extended use but definitely highly competitive with sonnet. I will probably end up using kimi for personal stuff when I find some time to get it running or get a non-anthropic/openai harness set up on my personal machine.

I think its two systems masquerading as one - employed-and-insured and everyone else.

If you're the former, it works great. If you're the latter, it can be mediocre to BRUTAL. Medical debt is our #1 or 2 cause of bankruptcy iirc.

Regardless of which class you are, if you can access the care, our outcomes are the best in the world for most things.

> If you're the former, it works great.

I don't think that's true at all. "Insured" doesn't mean just one thing. There are many different kinds of insurance, levels of plans, etc. Most insurance companies will do their best to deny claims or push more responsibility onto the patient.

My insurance is very good, but I see a therapist weekly and my insurance only covers about 40% of the cost. I'm fortunate that ~$500/mo isn't a problem for me, but many people in the US would find that impossible.

A few months ago I went to the ER for what turned out to be gallstones, and was still on the hook for $200 of that visit. And I took a Lyft the the hospital; I don't want to think about what my out-of-pocket cost had been if I'd needed an ambulance.

Last summer I hurt my hand in a bicycle accident, and went to PT once a week for 6 weeks. I had to pay a $35 co-pay for each visit; that's $210 for a single injury.

And this is with fairly good insurance. Many, many insured Americans just have so-so insurance. From what I hear of most healthcare systems in countries that do this right, most (if not all) of this stuff would have been completely free.

> If you're the latter, it can be mediocre to BRUTAL

Yup, and in a way that's an even worse indictment, that really puts us in worse-than-third-world territory.

Yes

If you can successfully integrate with quest/labcorp and one or two of the big ehrs, i will happily pay double what you're charging.

after reading it, it's super positive and really great. I wouldn't consider myself the target audience for this, but ill probably work it into my morning practice a little for a couple weeks.

trendslop is a great way to describe it

Yes, it's been insane. Hitting limits by noon since late last week. Not even using opus 4.6 with 1mm context, just normal opus and a bit of sonnet/haiku.

I hate these types of study because yea, in general people are really moral and want the right things but when it comes down to specifics, very few people are voting for a new nuclear plant near their house (I would love to vote yes on this).

I did not expect there to be any bright spots but I hope this turns into one of those things (like the 2002 AUMF) that just lasts so long we see benefits from it and eventually kill the underlying blockers.