'Silicon Valley Is Missing Unicorns Because It Doesn't Understand Poor People' (cnbc.com) 202
An anonymous reader writes: Silicon Valley might be hunting unicorns in the wrong places. According to one top federal health official, entrepreneurs and investors are overlooking one massive population: Low-income Americans who qualify for Medicaid. That's a big mistake, given that new funds are available for those that are bringing IT innovation to the space, said Medicaid chief medical officer Andrey Ostrovsky. "My gut is that it's a big opportunity with $500 billion in federal spend every year in a system that hasn't evolved technologically much since 1965," Ostrovsky said. "There are unicorns sitting in there," he added.
Renewal App (Score:4, Funny)
How about an app that signals when it's time for your renewal and gives you bus directions to the closest carousel?
not touching it with a 10ft pole (Score:3, Insightful)
If you get in there as an entrepreneur, you'll be suffocating under a mounting of paperwork before being demonized by Democrats for trying to make a profit. And before you can build a real business, you can bet that Congress is going to pull out the rug from under your business model anyway by reforming government health care yet again. Sorry, but "here's a bucket of government money, go build something" is just not an attractive proposition even under the best of conditions, let alone when it involves poor people and a politically controversial area of public policy..
The best you can hope for at this point is that, as physicians exit the market, the big corporations that take over their functions will be able to invest some money in technology and innovation.
Re:not touching it with a 10ft pole (Score:5, Informative)
My company got a lot of help from Medicare when we wanted to analyze their data. There was about as much paperwork as you'd expect from a giant government entity, but everyone was nice and helpful. We were always made to feel welcome and Medicare publicly said they were glad to have us.
Your portrayal of government healthcare, at least under a Democrat president, is far from the reality I actually witnessed.
Oh, and I'm not a Democrat.
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Why wouldn't they be "nice and helpful"?
I didn't "portray government healthcare", I outlined the risks that a business faces when dealing with the government. The very fact that you qualify th
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Why wouldn't they be "nice and helpful"?
You said they'd demonize us.
The very fact that you qualify this with "under a Democrat president" means that you recognize that there are huge political risks involved.
I was replying to your incorrect message that Democrats would be upset with someone trying to make a profit. You're moving the goalposts here.
The question is: did you actually bet your company on a business model that relied on the federal government and Medicaid?
It's my employer, not my personal company. You'd have to ask them about their financing discussions. But yes, it's a major part of our strategy.
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I said Democratic politicians demonize people who make profits in healthcare, not that government bureaucrats are rude to you.
Your strategy isn't specific to Medicaid, so it's not relevant to this discussion. That is, your service
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Literally impossible? You're not all that good at data mining, then, are you?
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De-identification doesn't work in general. You could probably recover the personal identities of most of the people in your database by combining it with other data sources.
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No, this thread has simply changed topics.
This topic is tangentially relevant because the massive centralized collection of medical records has been made possible under Obama, and it is a serous threat to our privacy. It's another reason not to have a single payer system. The federal government should not have health care records on most Americans.
The Dems just want single payer (Score:2)
We're not going to demonize you if you don't act like a demon. If you come up with a clever scheme to siphon billions into your pocket away from actual health care then yeah, we'll demonize you. You're a demon. Stop it.
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Well, the vast majority of the Dems seems to want to shovel trillions into the hands of big drug companies, the AMA, and hospitals.
Funny, that's pretty much exactly what I would say about the crony capitalist ACA scheme.
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Not a single Republican voted for the ACA, so it wasn't a "compromise".
The fact that some time somewhere some conservative penned something that was similar to the ACA in some respect doesn't mean all Republicans are bound to think it's a good idea in perpetuity.
Of course, it's not what they want. What they thought they could do is pass a flawed piece of legi
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at least the honest ones do.
Both of them?
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Sorry to break it to you now that you are back from years in the wilderness with no news of the outside world, but there has been an election and Democrats are now irrelevant so you'll have to find someone else to blame.
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I'm glad you noticed that Democrats have lost both the presidency and both houses. However, Democrats haven't disappeared from the US political scene, and any business has to take into account the risk that, sooner or later, Democrats will come into office again. Furthermore, any business al
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Aren't you the guy that hates all governments and sees all taxes as armed robbery?
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Aren't you the guy that hates all governments and sees all taxes as armed robbery?
No, you must have me confused with someone else.
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And that kind of uncertainty is precisely why businesses would be foolish to invest for the long term in business models that rely on the continued largesse of specific political parties or administrations. Thanks for supporting my point.
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Considering that the current healthcare bill in Congress is nothing more than a tax break repeal to pave the way for more tax breaks for the wealthy, the Democrats will quite certainly fix that once they get back in power.
You forgot to mention one of the following in your post, which you bring up in every slashdot story you comment on:
You worked as a videogame tester (same/diff/bought out company).
You got laid off
You were bankrupt
You manage {multiple thousands} of desktops
You're a programmer
You're teaching yourself to program
You're a govt. contractor
Therefore, I must conclude that you're not the real creimer. The real one mentions one of the above points in every single story.
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I hope he's appropriately flattered by this post.
I'm not. I tend stay on topic when it's not about politics or IT.
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The real one mentions one of the above points in every single story.
That's because the topic being discussed isn't IT-related.
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The real one mentions one of the above points in every single story.
That's because the topic being discussed isn't IT-related.
I'm curious about why you always mention those things. You have no other IT-related items of information to add to an IT discussion?
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You have no other IT-related items of information to add to an IT discussion?
That depends on what is being discussed. How many times have the editors posted the same story on the same day or next day?
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The real one mentions one of the above points in every single story.
That's because the topic being discussed isn't IT-related.
Dammit man - I was wrong - you did mention one of those things: in a comment to this story [slashdot.org]. Maybe next story comes up you can avoid repeating yourself? Make it a personal goal :-)
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Dammit man - I was wrong - you did mention one of those things: in a comment to this story.
Everything in that comment was relevant to the discussion at hand.
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Dammit man - I was wrong - you did mention one of those things: in a comment to this story.
Everything in that comment was relevant to the discussion at hand.
I didn't accuse you of being irrelevant or off-topic, I accused you of repeating yourself (considerably - there are some weeks I swear all you ever do is repeat yourself).
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[...] there are some weeks I swear all you ever do is repeat yourself).
That's the Slashdot effect. Noticed how some stories are posted repeatedly the same or next day?
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[...] there are some weeks I swear all you ever do is repeat yourself).
That's the Slashdot effect.
That's not what the slashdot effect is. Read this wikipedia entry [wikipedia.org] about the slashdot effect. No need to spend time on it, there will not be a test later :-)
Noticed how some stories are posted repeatedly the same or next day?
Yeah, that's the editors and they've been duping since as long as I've been reading this site. Why do you dupe your comments. Other than the obvious trolls (GNAA posts, Grub pretending to be Dr Bob, The apps luddite guy, the cow poster, etc), no one else gives a summary of their employment (mis)fortunes on a daily basis.
The reason I'm asking is because I
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No need to spend time on it, there will not be a test later :-)
When was the last time a website got slashdotted in the last 10 years? My websites could handle being slashdotted — and my webhost provider will send me a bill for the bandwidth.
The reason I'm asking is because I'm starting to suspect that you're a highly advanced chatbot.
That's on my to do list as a programming project.
[...] a known database of stock responses ("bankrupt", "govt. contractor", etc) [...]
One of the reason my comment history scraper script saves to a CSV file is that I can load it up in Excel and search by keywords. All my comments have a keyword or two.
[...] I'm willing to bet you're not self-aware enough to realise that you're stuck in a conversation loop, endless repeating yourself with no awareness of the fact that your audience has already heard you give the same speech multiple times.
Go listen to Guy Kawaski [guykawasaki.com] on YouTube. His core speech is why a dog food delivery app doesn't work. The beginning
Too late, bitches... (Score:5, Informative)
Oracle has already been practicing, and is perfectly poised to swallow gigatons of money while providing crap software [oregonlive.com] to the medical insurance industry.
Low income people who qualify for medicaid (Score:5, Insightful)
Anyway, when those tax cuts hit and the funds stop the law kicks back in and anyone single gets kicked off their health care. Period. I got a buddy with type-I diabetes who didn't have his insulin until Obama made Arizona pay for it. We're gonna go back to struggling to get his insulin now.
In most of America the only money to be made in poor people is exploiting them because that's all we're allowed to do.
Re:Low income people who qualify for medicaid (Score:4, Interesting)
Arizona laws are based on the presumption that if you make the poor miserable enough, they will move somewhere else.
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Arizona laws are based on the presumption that if you make the poor miserable enough, they will move somewhere else.
s/somewhere else/west/
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Unfortunately they've overlooked the fact that the poor (except maybe the homeless) can't afford to move, it's the wealthy who are mobile.
Perhaps it's just that the summer weather makes Arizonans so miserable that they want to hurt people.
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Unfortunately they've overlooked the fact that the poor (except maybe the homeless) can't afford to move, it's the wealthy who are mobile.
This is a true point. It would actually make sense to fund bus tickets out of the area in a cynical way. Essentially saying we won't pay for the poor to stay but we will help them leave.
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Unfortunately they've overlooked the fact that the poor (except maybe the homeless) can't afford to move, it's the wealthy who are mobile.
This is a true point. It would actually make sense to fund bus tickets out of the area in a cynical way. Essentially saying we won't pay for the poor to stay but we will help them leave.
This sounds like a good idea, trains may be cheaper though. I think if we can identify all the poor, maybe with a little badge or something, then we can round them up once there's enough to fill the first train.
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This is a true point. It would actually make sense to fund bus tickets out of the area in a cynical way.
Florida did that for a while, with bus tickets to California.
The lawyers (on both sides of the lawsuits) thought it was a wonderful idea.
I don't think we care either way (Score:2)
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You're describing a pretty good, workable system for maintaining social order, but that's not really how it is. The people in those McMansions don't want to live next to poor people. And violent criminals who come mostly from the ranks of the poor are completely out of control. And mainstream politicians are propping up thug groups like black lives matter to put pressure on cops NOT to bust everybody.
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Either that or they'll pull themselves up (Score:2)
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The stupid thing being that the money coming from the Feds to pay for low income people's health care brought more dollars to the state than we were spending. But around here we don't like paying for poor people to have, well, anything really.
What was being rejected was not the subsidy.
What was being rejected was the 4 year sunset on the subsidy, where the state had to take over the burden, at 25% a year, until it was shouldering 100% of it, and the fed was no longer giving the state any money whatsoever.
One year down the road, and it would have been about break-even, but two years down the road, it would have been a sucking chest wound in Arizona's economy, and in four years, it would have transitioned into a giant cancer.
The problem is that th
Fine (Score:3)
You're problem isn't you drank the Kool-Aid, you're problem is you don't have the political will or
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And the Feds enforced like mother fucking crazy. We don't want them to enforce. We hire those people to be maids, cooks, and farm hands.
Do you personally have maids, cooks, and farm hands?
Most of the people concerned about illegal immigrants accessing ACA health care for free are not rich people in border states with dozens of maids, cooks, and farm hands, doing nothing more than sitting around swimming pools sipping margaritas, and bitching about the tax rate. They are instead poor people in the U.S. who are concerned about foreign labor undercutting their ability to get manufacturing and other low skill blue collar labor jobs.
One of the
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Obamacare made situation much worse in the long term. Obamacare provided a blank check to hospitals/drug makers to charge whatever they wanted and the insurance(private) or tax payers(medicare) will end up footing the bill.Example insulin prices more than doubled since Obamacare was introduced. Anyone paying attention to the AMA comments about latest healthcare reform, should just ignore their comments. The AMA and the doctors/hospitals they represent have vested interest in making sure the insurance pay
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Unbelievable! (Score:2)
Silicon Valley might be hunting unicorns in the wrong places.
Endangered species weren't a good enough kill for them so they are going after our cryptozoological entities? THOSE BASTARDS!
This is why Bigfoot refuses to work in IT. ;)
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Silicon Valley might be hunting unicorns in the wrong places.
Endangered species weren't a good enough kill for them so they are going after our cryptozoological entities? THOSE BASTARDS!
This is why Bigfoot refuses to work in IT. ;)
Considering what Silicon Valley is doing instead, is hunting "whales", I am not sure that is much better.
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Considering what Silicon Valley is doing instead, is hunting "whales", I am not sure that is much better.
I didn't think Twitter was still relevant.
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This is why Bigfoot refuses to work in IT. ;)
No, I had to stop because of air quality issues.
What hasn't changed since 1965? (Score:2)
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Not gonna happen in this environment (Score:2)
The VCs I talked to, who were interested in this sector, all started sitting on their funds ever since Trump came into power. It's just not clear how these programs will be affected.
It doesn't understand outsiders... (Score:2)
Today it's all about who you ARE and WHO YOU KNOW.
This is a very unfortunate trend, today you're basically invisible to the entire industry unless you got 20+ years experience + are the same age as your experience, plus have amazing references and are willing to work overtime without extra compensation.
Doesn't matter if you can code their socks off, doesn't matter if you even won prizes and awards for your skills, the only thing that matters if you have some papers from your accredited school, and some netw
Alternate theory (Score:2)
Maybe they ate all the unicorns [etsy.com]
well, gee (Score:2)
If you read the details on the money he's offering (called the "90/10 Rule"), it's 50% to 90% of the cost to build new software and 50% to 75% of the cost to maintain it, with theoretically the rest to be provided by your state...?
I appreciate that they're trying to get something going, and they're working within some insane limits put on them by contradictory mandates, but this is not a proposal to get quality work done. Implying this is a good deal does not help his credibility. This is a proposal for cha
cart before horse (Score:4, Interesting)
The whole idea that Silicon Valley VCs are somehow *looking* for unicorn companies or unicorn ideas is totally ass-backward.
Silicon Valley VCs believe they can *create* unicorns by throwing money at them. They aren't looking for them per-se. They are looking for the "right team", the "right investment", etc... The actual idea? Maybe a company can pivot to an idea before the iron grows cold and they are off to the next team. Or not.
A billion dollar valuation (aka unicorn) simply means VCs have managed to get some 3rd or 4th round chumps to dump a bunch of money into a company for a microscopic share of equity. The smart investors either came in early, or have financing structures with warrants that are dilutive (meaning they didn't actually invest at unicorn levels) unlike the employees that usually promised fully diluted shares some day. The whole fiction of unicorns is simply a media creation and has nothing to do with the market potential of a company. Like Enron or Adelphia accounting, it's a fiction that only has to do with the esoteric machinations of valuation and financing a startup.
I suspect the main reason nobody is pivoting towards medicaid recipients is that silicon valley companies probably don't think they can compete with the fraud levels that are out there. If some SV company thought they figured out a way to skim medicaid dollars, they probably can't hold a candle to what people are already doing to the system. It's hard to beat scammers at their own game (esp if you are trying to play fair). On the other hand, maybe a Uber-like company might want to tackle this, but I don't know if that would be a good thing.
Profit (Score:2)
Yes, there is profit to be made with modernizing medicaid
But no, that profit won't be earned by the poor people on medicaid. It's not the dependants of a system that can profit from rebuilding it. They can't even shape it.
If you want to give those people a say, go ahead, but that won't bring VC money to medicaid.
It's deeper than that (Score:2)
Silicon Valley doesn't understand life outside of Silicon Valley. There are a whole lot of places in the country that don't have wireless internet service yet they build products that expect it.
Unicorn = venture capital win (Score:2)
unicorns --private, venture-backed companies valued at a billion dollars or more
source:
How Unicorns Grow - Harvard Business Review
https://hbr.org/2016/01/how-un... [hbr.org]
Re:After the Biotech scare... (Score:4, Insightful)
You don't target poor people, you target the providers who are getting that $500B and want to profit more from it. If there's one thing we can rely on in the health care industry (and the US in general) it is greed.
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If there's one thing we can rely on in the health care industry (and the US in general) it is greed.
You added a lot of extra words: If there's one thing we can rely on, it is greed.
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There's plenty of stuff like that, but I would bet the following couple would be the best
Porn
Alcohol
Betting
Gambling
Drugs
I worked for a sports betting company for a couple years, they target the "great unwashed" (and trust me, if you walked into a busy branch on a Saturday you realized that statement is VERY true) they didn't put down big bets, but there were so many of them it didn't matter. When t
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Of course you can target poor people, you just need something they would want more than anything else.
There's plenty of stuff like that, but I would bet the following couple would be the best
Porn
Alcohol
Betting
Gambling
Drugs
Those things are popular with everyone who isn't suffering from some form of religious constipation. The correlation between poor and uneducated however does mean lower math skill and inability to understand what long odds really mean. A few people I grew up with who spent all their doll
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The problem is that unicorns live in the shade of VC money trees, not under the umbrella of government regulation. Nobody wants to eat that rotten lettuce.
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Silicon Valley is not equipped to handle medicine. It can barely manage engineering. Instead it's all web apps and phone apps and cloud now.
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Can you live in Silicon Valley with a salary of $100k or less?
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Can you live in Silicon Valley with a salary of $100k or less?
Yes, if you live a modest lifestyle. If you want the American Dream of having it all (big house, big cars, big wife and big kides), it gets expensive in a hurry.
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Bad news. Most of those who do work for a living, as opposed to slinging sh!t on Slashdot, are making far less than $100K
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With 2br rents being $3500 month, no, you cannot "live" on the penninsula for less than 100K
I pay $1466 per month for my 475-sqft studio apartment in San Jose. I still save 20% of my income.
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That's like a 6x6 bedroom for each assuming a kitchen and tiny "living room".
So, any kids?
No, you do not "Live" on 50K/yr on the Penninsula
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That's like a 6x6 bedroom for each assuming a kitchen and tiny "living room".
I've seen places like that in downtown San Jose. Old Victorians converted into boarding homes.
No, you do not "Live" on 50K/yr on the Penninsula
I live in San Jose and work in Palo Alto. The only people who care about the Peninsula are the people too poor to live in San Francisco.
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That puts your expenses at 2514 per month, leaving you with $652 [...]
I pull down $4166 per month before taxes and my budget is $2828 per month with extra cash not allocated to anything in particular.
God forbid you have a significant financial emergency.
You mean like not working for two years (2009-2010), underemployed for six months (working 20 hours per month), and having $25 in checking after filing for Chapter Seven bankruptcy in 2011? Been there, done that.
You are working poor in the Valley.
You didn't include my brokerage, retirement and savings accounts (~$10,000). Not too many working poor have access to banking services.
You are barely even covering your expenses.
I'm covering all of my expenses eve
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"Big" wife and "big" kids? Well I guess when you weigh 350 lbs you don't have many options.
When I mean "big," I'm mean bigger than me. I used to be the proverbial fat kid in school. But now there are fat people everywhere who are much bigger than me.
Also you wouldn't need such a big car if you could fit into a regular-sized one.
My last two cars was a 1999 Pontiac Grand Prix and 1999 Ford Taurus. I had no problems sitting behind the steering wheel.
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So you have a fat fetish or something?
Only women with hips. The kind of hips that will carry a baby or two.
I had a Taurus in the 90's, that thing was a g'damn boat.
A coworker at Cisco had an original Hummer and security was also tagging him because he took up two parking spots with the wheels in the center of each parking spot.
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Then get off your 400 pound ass, get rid of the attitude, and do it.
I'm 350 pounds. I take public transit to work everyday from San Jose to Palo Alto. I rubbed shoulders with the homeless, the minimum wage workers who clean toilets, and the Indian workers who complain about heating their condos with 20-foot-tall ceilings. Last night I took the train home because the express bus was full and the driver wouldn't let ride standing up. There were more homeless tents along the river than there was along the freeway.
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Maybe you should try walking you fat tub of shit.
https://twitter.com/cdreimer/status/858405712317210624 [twitter.com]
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I just did a literal spit take.
Get used to it.
Somebody says, "Try walking, you fat tub of shit," and you show evidence that once, a few weeks ago, you walked on a treadmill so slowly that you could never walk to anyplace in a practical manner?
I originally posted that picture in response to another asshat on Slashdot who wrote that I needed a bowl of candy to keep me motivated on the treadmill. Walking 3MPH with a 3% incline on a treadmill puts my heart in cardio zone. The treadmill is but one part of my exercise routine.
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Right, in addition to walking slowly, there's also:
- 2.5 ounce candy-bar curls
- 10 second wind sprint to the vending machine
- holding your breath for 20 seconds while you down an entire liter of soda
- deadlifting crates of garbage energy bars
https://twitter.com/cdreimer/status/861287512802705408/ [twitter.com]
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Why are you proud of how you look?
Because being ashamed of being fat doesn't win gold medals.
[...] Coronary heart disease [...]
I have had high blood pressure in 30 years.
[...] Cancer, Stroke [...]
I don't smoke.
[...] Dementia [...]
I read three or four books per month.
[...] Diabetes, Depression [...]
A low-carb diet for the last seven years have reduced my chances for diabetes and depression.
[...] Arthritis [...]
I don't run.
[...] Obesity [...]
Even if my body fat went to zero, I will still be fat.
[...] Sexual dysfunction [...]
The boys downstairs are perky as ever.
[...] Sleep disorders [...]
I get up at 4:30AM and start work at 7:00AM. I sleep in late on the weekends, waking up at 6:30AM. I'm in bed by 8:30PM each night.
Take and follow some of the excellent nutrition and weight loss advice [...]
The Super-size Me diet? The Sn
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NOT being ashamed of being fat justifies staying fat, ruining your health, eating like shit, and never trying to improve yourself.
I diet, I work out and improve myself all the time. You reject that because it doesn't fit you perception of a fat person.. Being ashamed of myself, wallowing in piety and feeling sorry for myself will not make me skinnier.
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But no you're not one of those poor people.
According to Slashdot, anyone making $100K+ per year or less in Silicon Valley is poor. Otherwise, no one would give me grief for making $50K+ per year.
You're always promising you'll be a centokilonaire real soon now as soon as you figure out to run nmap.
Citation please?
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(#54385055) [slashdot.org]
I'm studying for my InfoSec certifications and my next job will be in the $100K+ range.
What does that have to do with being a "centokilonaire"?
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Next you'll ask, "WTF is nmap?"
I'm wondering why you're using nonexistent word instead of writing in clear English. Millennial?
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cento = 100 kilo = K
Next you'll ask, "WTF is nmap?"
lol are you fucking serious? Any other words you made up that you expect everybody else to know?
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A 100K salary in Silicon Valley doesn't go very far, so the net worth wouldn't be particularly high.
I wouldn't be so sure about that. Everyone thought Ronald Read was a poor man because he lived frugally and worked all his life as gas station attendant and later as a janitor. When he died at the age of 92, he left $8M to the local hospital and library.
http://www.joshuakennon.com/janitor-ronald-read-leaves-behind-8000000-secret-fortune/ [joshuakennon.com]
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HUD says if you make less than 103K$ you are "poor"...
With a five year waiting list for new openings.
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It's nice to hear someone still stuck in the righteous anger of why don't I have what you have or why do you deserve that instead of solving problems like where are families with kids going to live.
Just reminds me why I'm trying to get out of the red state I live in.
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https://en.wikipedia.org/wiki/Unicorn_(finance) [wikipedia.org]
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I wish I had mod points for this.
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Silicon Valley understands poor people well enough, and doesn't want anything to do with them. It's that simple.
Yep, in the Sili Valley you're in between Santa Cruz and San Francisco and you get to see two different visions of what the American homeless problem means. Nobody wants a piece of that.
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Seriously though, I think it's an investment opportunity with revolutionary potential. But I'm kinda guessing, so maybe you shouldn't put too much weight on my answer. Even if it's exactly what I think it is, I still have no idea why they'd call it a unicorn.
I can say that there are probably poor people everywhere because the poverty threshold is defined regionally according to the cost of food - 3x what it costs to buy just enough food t