notes-healthcare-handbook

surprise billing p39, (and chapter 6 too), reading a note about a 2015 study that found, 30% of plans on federal marketplqce, wow, without any emergency physician coverage?! so all those would be out of network. cost sharing p40, cost sharing like HDHP, intended to reduce cost by getting people to shop around more. RAND, findings, less money spent but not by shopping around but by getting less care . managed care p41, referrals and prior authorizations, to pay less for services as a respknse to more services and higher costs in 1970s and 1980s?? HMOs. And Medicare Advantage. ...

January 1, 2026 路 (updated March 11, 2026) 路 30 min 路 6355 words 路 Michal Piekarczyk

Recruiting Is Not a Science

The chaos of hiring is perpetually on most peoples minds these days, at least in my sampling of the conversations I engage in. One topic that comes up a lot is job post ghosting. No need to mention AI. Oops just did 馃槄. 馃懟 job post ghosting: an applicant does not hear back from an entity behind an application they submitted, for an extended period of time. The entity where an application is submitted may as well be a coin in a fountain or a letter in an ocean bottle or some other kind of void. ...

December 27, 2025 路 3 min 路 453 words 路 Michal Piekarczyk

on the flip side

When do you do the work. Examples, Andrew Wiles Fermat鈥檚 Last Theorem Chris Lattner, LLVM, SWift and Mojo And in Slow Productivity, Cal also describes McPhee, as a freelance writer , who on the surface may look like someone who spent 2 years writing some article here and there but really Cal notes in a footnote on p 216 that McPhee still needed to keep a day job teaching at Princeton and needed royalties from books that were successful, because the articles he quote unquote took his time on werent really profitable. ...

December 27, 2025 路 (updated January 10, 2026) 路 2 min 路 330 words 路 Michal Piekarczyk

Slow Productivity book notes

Notes Collecting some notes, reading Slow Productivity1 as I鈥檓 iterating on this2 post which is related. Disconnection From the Familiar The p160 - 163, daily rituals, going to some other other place , as a escape place to focus. I have stumbled upon this phenomenon too. Traveling has been a favorite way to collect my thoughts not otherwise accessible. Bonus relaxed low stakes environment. trail of broken urls Reading, p181, about this Jarvis, this quote resonates, ...

November 29, 2025 路 (updated January 5, 2026) 路 4 min 路 771 words 路 Michal Piekarczyk

Gap Analysis

You don鈥檛 know what you don鈥檛 know. Filled in some gaps today. I don鈥檛 know if these particular gaps were used by pests found intruding into the home, but per my reading, these are typical likely entry ways, so going to attempt to rule these out for later.

November 9, 2025 路 (updated January 1, 2026) 路 1 min 路 48 words 路 Michal Piekarczyk

What are the important problems to solve these days?

Housing scarcity VC funds are buying up private properties, taking housing off the market, driving up housing costs through additional scarcity and pushing more people to renting. Also, shared algorithms for rent pricing are a proxy for collusion, possibly inadvertent, but raising prices. Loneliness Health insurance disconnect We have new transparency laws passed but perhaps people dont know about them yet. Not yet transitioned to vqlue based cqre, so many providers are incentivized to paper patients with mountqins of itemization paper cuts. Value based care would open up pay for outcomes. ...

November 1, 2025 路 (updated January 1, 2026) 路 2 min 路 358 words 路 Michal Piekarczyk

Fix a chipped pint glass

Used sand paper , grade 80 , to get the following before after

September 28, 2025 路 (updated January 1, 2026) 路 1 min 路 13 words 路 Michal Piekarczyk

Immich to Vimeo

Into my immich journey I tried out a way to upload videos to vimeo straight from immich, with the vimeo REST API. Added a small upload script here, https://github.com/namoopsoo/manage-my-photos/blob/main/vimeo/upload.py , which just requires a VIMEO_TOKEN defined as an env variable python vimeo/upload.py --local-path /path/to/file.mov References https://developer.vimeo.com/api/reference/videos#upload_video

June 1, 2025 路 (updated March 1, 2026) 路 1 min 路 46 words 路 Michal Piekarczyk

Genius Makers book notes

Summary todo Raw notes 2024-12 genius makers book P33 Hinton not interested in mathematics, including in linear algebra. He would just get help from others to help solving the differential equations First chapter of the book is about how connectionism was apparently disproven by Marvin Minsky. But Hinton was nit convinced. Hearing initial issue was, they only tried singlw layer networks. Huh why. P37, back prop. Rumelhart P39 Boltzmann Machine ...

December 20, 2024 路 (updated March 1, 2026) 路 9 min 路 1806 words 路 Michal Piekarczyk