[HN Gopher] YouTuber builds his own x-ray machine after $69k hos...
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       YouTuber builds his own x-ray machine after $69k hospital bill
       (2021)
        
       Author : ck2
       Score  : 236 points
       Date   : 2022-03-24 12:52 UTC (10 hours ago)
        
 (HTM) web link (www.popularmechanics.com)
 (TXT) w3m dump (www.popularmechanics.com)
        
       | vilhelm_s wrote:
       | Steve Yegge tells the story[1] of his dad cooking:
       | 
       | > When I was a teenager, my dad and my brother Mike decided to
       | make homemade chili. I'd never seen it made before, and I watched
       | with keen interest as they added beef, beans, some veggies and
       | spices, and other ingredients. Dad would taste it, add some more
       | ingredients, wait a bit, taste it again. My dad has some pretty
       | good recipes. So you can imagine my puzzlement when he opened the
       | cupboard, pulled out 2 cans of Hormel chili, opened them and
       | dumped them in. I waited a respectful moment or two before asking
       | him why he was adding canned chili to his chili.
       | 
       | Similarly, I think it detracts a bit from building a home-made
       | x-ray machine if one of the ingredients is an x-ray tube from an
       | old x-ray machine.
       | 
       | [1] http://steve-yegge.blogspot.com/2006/10/egomania-itself.html
        
         | robocat wrote:
         | Steve rants against Agile - classic.
         | 
         | """ I waited a respectful moment or two before asking him why
         | he was adding canned chili to his chili. They both said it
         | tasted terrible, but, as my dad now-famously observed: "You can
         | start with dog shit, and if you add enough chili, you get
         | chili."
         | 
         | Similarly, if you start with an Agile Methodology, and you add
         | enough hard work, you get a bunch of work done. Go figure.
         | 
         | But that's a tautology; you can substitute anything you like
         | for "Agile Methodology" and it's still true. It's probably not
         | difficult to find people who believe that Feng Shui has brought
         | them success in their projects for years. Or throwing pennies
         | in fountains. Heck, there are probably some people who practice
         | witchcraft to help their projects out, and a great many of
         | those projects -- probably the majority -- wind up being
         | successful.
         | 
         | If you do a rain dance for enough days in a row, it will
         | eventually work. Guaranteed.
         | 
         | So I'm not saying Agile doesn't work. It does work! But it's
         | plain, unadulterated superstition. """
         | 
         | Off topic, but thanks for the link.
        
         | dekhn wrote:
         | so, I'm a maker, and there's some things that aren't worth
         | making yourself, but if you integrate them, you're still a
         | maker. x-ray tubes are an example (in my case,
         | microcontrollers, stepper motors, and microscope objectives).
         | 
         | (I have actually built a crookes tube, for fun, but it wasn't
         | particularly reliable or safe)
        
           | odonnellryan wrote:
           | Are programmers makers?
        
             | dekhn wrote:
             | Computer programmers are makers, but typically work on
             | digital systems, where making is far, far easier.
        
         | robbedpeter wrote:
         | https://youtu.be/-0G4-JicCIw
         | 
         | Diy xray tubes are doable, but I don't fault them for the store
         | chili or the reused tube. It's not always important that parts
         | be as authentically diy as the whole, in my view.
        
       | octagons wrote:
       | It's worth noting that William Osman stopped producing videos on
       | his YouTube channel due to the fallout of this video.
       | 
       | It was a long time coming because he comes off as very aloof and
       | has received criticism about the safety of many other projects,
       | but this one appears to have triggered a lot of outrage.
       | 
       | FWIW, I think we need more young, brilliant minds sharing this
       | kind of content. It has the entertainment value needed to capture
       | the interest of young viewers who may not be otherwise interested
       | in engineering disciplines. There are many, many other channels
       | out there (backyard scientist, action lab, Cody's lab, stuff made
       | here, etc.) who are very successful on YouTube, but they tend to
       | cater to viewers who are deliberately choosing to watch their
       | videos.
        
         | sillysaurusx wrote:
         | I agree with you. But the safety concerns are real.
         | 
         | It's his life to risk, but during Edison's days, one of his
         | assistants lost everything to x-ray damage. His body became
         | totally deformed.
         | 
         | Oddly, this Daily Mail article is somehow near the top of the
         | results. But reading over it, it seems pretty accurate from
         | what I remember.
         | https://www.dailymail.co.uk/health/article-7180945/X-rays-ra...
         | 
         | So it's not like the safety concerns are entirely off-base. But
         | still, I agree that it's his life to risk.
        
           | megous wrote:
           | Just one exposure of the assistant is many orders of
           | magnitude more exposure than this guy had for the entire
           | experiment.
           | 
           | It's not really comparable.
        
           | swores wrote:
           | Might I suggest that even on occasions when the Daily Mail (/
           | Mail Online) has accurate content, they still don't deserve
           | page views or advert impressions and that when not too hard
           | other links would be better. I'm not sure how the exact
           | content stacks up, but this Smithsonian Mag link was high in
           | my search results
           | https://www.smithsonianmag.com/history/clarence-dally-the-
           | ma...
           | 
           | Anyway, thanks for the story that I hadn't heard before!
        
             | sillysaurusx wrote:
             | That's an interesting suggestion. May I ask why? I really
             | don't know anything about it.
             | 
             | The hesitation I had with sharing a daily mail link was "Is
             | it accurate?" rather than whether they deserve impressions.
             | It hadn't occurred to me that it might be a bad idea to
             | support them.
        
               | ftyers wrote:
               | They're widely (although not universally) considered to
               | be irredeemable in England after an article they
               | published in 1934 entitled "Hurrah for the Blackshirts".
        
           | RandallBrown wrote:
           | Safety concerns are real and I believe William Osman manages
           | them pretty well.
           | 
           | Here's a "reacts" video where a radiologist agrees he's being
           | pretty safe and what he's doing isn't that risky (assuming he
           | knows what he's doing with high voltage.)
           | 
           | https://www.youtube.com/watch?v=UXJs598n3gE
        
             | sillysaurusx wrote:
             | Thanks for this!
        
         | 0x_rs wrote:
         | That video also resulted in him, Osman, setting up a fake job
         | application interview with one commenter for the sole purpose
         | of filming and posting it online on his YouTube [0]. Which is,
         | in my opinion, very petty and immature. It's good that he
         | stopped making videos for the time being while learning what
         | most creators online have to deal with and don't take to this
         | level.
         | 
         | 0. https://www.youtube.com/watch?v=FHyFihLolyg
        
           | sevenf0ur wrote:
           | Yeah, that whole video was very cringe-inducing.
        
           | rowanG077 wrote:
           | Thanks for that video. I now have MASSIVE respect for this
           | dude. I don't think it's immature at all. It was a very fun
           | way to call out this piece of shit of a person.
        
           | neatze wrote:
           | Why it is immature ?
        
             | oh_sigh wrote:
             | Getting worked up enough about a random internet comment to
             | go to that length to try to humiliate the person is
             | immature. Especially with a fraudulent job application.
             | 
             | Here, let's try something out: Neatze, I think you're a big
             | ol idiot.
             | 
             | Now, what is your response going to be? Will you just shake
             | your head and move on with your life? Or will you try to
             | e-stalk me, set up a fake job interview for me, just so you
             | can get a one up on me?
             | 
             | Probably not, because I bet you're more mature than the
             | dude in the video.
        
               | invisible wrote:
               | In a somewhat comical sense, it's pretty "mature" to draw
               | up a contract with someone (a very "professional" thing
               | to do) to prove a point that someone trolling on your
               | video has no idea what they're talking about. How else
               | could he prove the point in any other realistic manner?
               | 
               | Calling something immature when it's a well thought-out
               | and explored topic doesn't seem fair. He's touched on how
               | random internet trolls hurt other YouTubers, not just
               | him, in other videos (to show this isn't some impulsive
               | thing).
        
               | explaingarlic wrote:
               | If you make tens of thousands of dollars a month on
               | YouTube with AdSense, you are effectively a business. And
               | indeed, many of these YouTubers have setup businesses in
               | their name that receive the AdSense funds, and pay
               | themselves a salary out of that.
               | 
               | A company does not publicly humiliate a customer who
               | makes a detrimental statement to its products - can you
               | imagine the devastation from someone who is socially
               | awkward and receives this kind of backlash for the
               | horrific crime of speaking slightly out of line?
               | 
               | Does your employer have a "worst employee of the month"
               | poster with enumerated examples of all of the fuckups
               | they made in the last month? That would be a million
               | times less harmful than a pop-culture hack doing the same
               | thing to you because you _said_ something out of line.
               | 
               | People should be free to abuse each other online, call
               | each other all sorts of stuff and _ESPECIALLY_ lie or
               | stretch the truth, without facing offline scrutiny or
               | embarrassment.
        
               | dntrkv wrote:
               | > A company does not publicly humiliate a customer who
               | makes a detrimental statement to its products
               | 
               | This happens quite often.
               | 
               | It's very common to find reviews on Yelp where someone
               | leaves a less-than-honest review and the company owner
               | comes in and explains what a piece of shit that person
               | was and how they aren't telling the whole story.
               | 
               | If you come into a store and act like a dick towards the
               | staff, you will almost certainly be publicly humiliated.
               | 
               | It even happens with larger companies where someone goes
               | to the media with some BS story, and then the company
               | issues public statements about how that person is full of
               | shit.
               | 
               | I see nothing wrong with what William did. It may be
               | petty, but who cares. If you don't want to be called out,
               | don't be a troll.
        
               | invisible wrote:
               | I disagree with your opinion that people should be free
               | to abuse others online without any scrutiny offline.
               | Especially when people claim to be experts and assert
               | authority on subjects.
               | 
               | Also, what is with creating these fictional scenarios
               | about an employer punishing a customer or employee? Even
               | if "he" were a business, he's free to react to criticism
               | however he chooses.
               | 
               | My local barber chose to respond to negative reviews by
               | chastising every single one. They still somehow have
               | plenty of happy customers.
        
               | googlryas wrote:
               | There's nothing mature about violating contract law. It
               | feels like fraudulent misrepresentation to me. Key
               | aspects of fraudulent misrepresentation[0]:
               | 
               | 1) a representation was made
               | 
               | 2) the representation was false
               | 
               | 3) that when made, the defendant knew that the
               | representation was false or that the defendant made the
               | statement recklessly without knowledge of its truth
               | 
               | 4) that the fraudulent misrepresentation was made with
               | the intention that the plaintiff rely on it
               | 
               | 5) that the plaintiff did rely on the fraudulent
               | misrepresentation
               | 
               | 6) that the plaintiff suffered harm as a result of the
               | fraudulent misrepresentation
               | 
               | [0] https://www.law.cornell.edu/wex/fraudulent_misreprese
               | ntation
        
               | invisible wrote:
               | I don't think Will committed fraudulent
               | misrepresentation, if that could even apply or if this
               | somehow caused harm. Either way, who said violating
               | contract law was immature? Only you. Why suggest I did?
               | What motive do you have here?
        
             | 0x_rs wrote:
             | If you watched the video, I'll have to be the one asking
             | you -- why do you think looking up somebody from your
             | comments section, making them sign agreements under a false
             | pretence and setting up an interview, and then making fun
             | of this individual talking about how "embarassing" he is in
             | your videos is not immature? I won't even begin talking
             | about brigading against somebody when you have a vast user
             | base. Content creators have some unwritten responsibilities
             | and such acts are uncommon because they usually do not fall
             | into these things trying to make "a point".
        
               | jaykk wrote:
               | well, this specific commentor claimed to be an expert on
               | this topic...
        
               | Maursault wrote:
               | It is irrelevant who said what, only what was said. It is
               | not possible to validly counter an argument by attacking
               | the man, which is why ad hominem is a fallacy. The
               | logical way to have approached this is to ignore the man
               | and point out the argument from authority, also a
               | fallacy.
        
         | TT-392 wrote:
         | Pretty sure it was a combination of factors, not just this vid,
         | and he just needed a break.
        
           | octagons wrote:
           | Yes, I agree it was many factors. This video seemed to be the
           | breaking point, but it was certainly a long time coming. I
           | recall several videos over the past 2 or so years where he
           | drew attention to the invective he receives. I don't really
           | participate beyond watching the videos, so perhaps there are
           | others who are more informed about the factors behind his
           | decision.
           | 
           | Regardless, I wish him all the best and hope he'll find a way
           | to showcase his talent or at least find fulfillment
           | elsewhere.
        
             | TT-392 wrote:
             | As far as I heard listening to the podcast, I am not
             | convinced he is done making videos. And even if he does end
             | up stopping, they got a pretty great podcast which he seems
             | to enjoy.
        
         | ballenf wrote:
         | He does a regular video podcast still on Youtube that has some
         | pretty cool behind the scenes discussions. And an awesome
         | title.
         | 
         | Safety Third:
         | https://www.youtube.com/channel/UC7QE72cxiBkiwnvGoFfqYOg
        
           | octagons wrote:
           | Yes! This is a great podcast if you are a fan of William
           | Osman, NileRed, Michael Reeves, Peter Sripol, and the like.
        
         | mkdirp wrote:
         | > It's worth noting that William Osman stopped producing videos
         | on his YouTube channel due to the fallout of this video.
         | 
         | Was it really because of that video? My impression from his
         | last video was just people being unnecessarily mean to him for
         | no reason in general, not just because of that video, but maybe
         | I missed something.
         | 
         | Personally, I was super impressed by this video. It was the
         | first time I had seen his videos (or heard of him). It was an
         | instant subscribe for me when I saw it.
         | 
         | I hope he's doing well. He seemed in a really bad place in his
         | final video.
        
           | [deleted]
        
           | jaykk wrote:
           | he's okay and currently does a super nice podcast with other
           | youtubers like nilred and the backyard scientist called
           | "safety third". He will release videos sometime soon again -
           | He talked about his backlog with his releases because he
           | wanted to release a video about his mr. beast's squidgame
           | involvement first and didnt find a good angle to tell the
           | story.
        
             | Ruthalas wrote:
             | I enjoyed his main channel content, but found the first few
             | episodes of the podcast to be a little rough going because
             | they had a strong focus on complaining about the people
             | complaining about their lack of safety measures. (Which
             | just wasn't interesting listening to me.)
             | 
             | Have the more recent episodes moved past that? I'd like to
             | give it another shot.
        
               | MivLives wrote:
               | They have for the most part. It comes up occasionally
               | now, and for the most part they're still as unfocused as
               | normal. They rotate in people all the time which is fine.
               | The last few episodes have been weirdly a lot about Taxes
               | but the Nilegreen episode was interesting.
        
         | mdrzn wrote:
         | God I miss William.
         | 
         | I hope he gets better (mentally), and he comes back to making
         | videos.
        
         | bluescrn wrote:
         | It's strange that doing potentially-dangerous things with
         | technology is frowned upon so much more than doing
         | 'conventionally dangerous' stuff like base jumping, huge tricks
         | on bikes/skateboards/snowboards, free climbing, and so on
        
           | warent wrote:
           | Probably conventionally dangerous stunts happen much more
           | often than potentially dangerous engineering stuff. By
           | definition you'll hear more outrage around more densely
           | outrageous things. If more people did dangerous engineering
           | stuff then it would be vice versa.
           | 
           | Also perhaps a dangerous skateboard trick is less likely to
           | harm anyone else but oneself, whereas an engineering disaster
           | can catastrophic at a range
        
           | atoav wrote:
           | Skateboarders don't really create the impression that their
           | sport is that one cheap trick to skip a propper medical
           | X-Ray.
           | 
           | Or phrased differently: there are no people with broken bones
           | and insufficient funds looking at skateboarders and thinking:
           | "I should do that, because I live in a nation without a
           | propper health care system"
        
           | a1pulley wrote:
           | I think you mean "free solo climbing," not "free climbing."
           | Free climbing means climbing with a rope and belayer but
           | without artificial aid, like etriers or jumars.
        
             | yupper32 wrote:
             | Free climbing is dangerous enough to be in that list, IMO.
             | Lots of things can go wrong even with ropes.
        
           | ribosometronome wrote:
           | Really? It seems to me like folk on YouTube generally get
           | upset over folk doing dangerous things without framing them
           | as such. Folk are upset at Alex Choi over his involvement
           | with the recent Tesla jump that resulted in a crash and
           | damaged property. There was a fair deal of outrage at Trevor
           | Jacob within the aviation community over his apparent fake
           | engine failure video, where he did the wrong thing even if
           | the engine had failed. The Thought Emporium had folk wagging
           | their finger at them when they had a video on a guy trying to
           | modify his own genome so they wouldn't be lactose intolerant.
           | 
           | But folk generally aren't mad with about things the
           | Mythbusters' did, even though they could have been dangerous,
           | because they were presented as dangerous. Folk have gotten
           | into competitions to fill their backyards with the most foam
           | they can -- which can be dangerous. But it's generally
           | presented as that and they talk about the heat generated and
           | such. Those sorts of things are generally presented as
           | entertaining not a way to get around an expensive medical
           | system or good idea.
        
           | hammock wrote:
           | Exposure to x-rays is harmful every time. In contrast,
           | basejumping, skateboard tricks, etc. only pose a risk of
           | harm.
        
         | deltaonefour wrote:
         | At the very worst (and it's not even at the worst) you can call
         | this guy stupid for building something like that.
         | 
         | But 69k for an xray? That's where the outrage should be
         | directed. That's evil in it's purest form. More then just
         | simple outrage, the person responsible for charging that 69k
         | bill is someone that needs to go to jail.
         | 
         | The sad thing is, the responsibility is distributed among the
         | entire medical industry. It's very similar to the phenomenon of
         | software engineer salaries.
        
         | willis936 wrote:
         | I was one of the commenters criticizing him, though I did not
         | post anything until his dismissive response video.
         | 
         | I made no personal attacks, but highlighted how dangerous it is
         | to the audience to present 10+ kV supplies as no-big-deal toys.
         | Everyone _can_ acquire an HV supply and play with it. Many of
         | them even _should_ , but certainly not because of a video
         | demonstrating ways to kill yourself with absolute no risk
         | assessment.
        
           | in0v8r wrote:
           | This line of thinking is quite confusing to me. The amount of
           | neglected children lucky enough to participate, unsupervised,
           | in an experiment like this is certainly dramatically less
           | than the amount you could save by hiring more social workers.
           | With respect to supervision, why is responsibility being
           | shifted away from parents? Blaming a YouTube video for your
           | child's chronic exposure to X-rays is a poor excuse for not
           | paying attention to you kid. Not to mention, the
           | proliferation of this type of video would automatically
           | expose the inherent danger as the safety-adverse content
           | providers reveal the consequences.
        
         | throwaway14572 wrote:
         | I was saddened to see that he stopped producing videos after
         | this. This is exemplary of a serious social problem we seem to
         | have.
         | 
         | I feel for him personally, because I've had a similar personal
         | "ultimatum" regarding online interaction:
         | 
         | I _don 't comment and don't contribute at all any more_ because
         | the emotional load of what you receive in return just... Isn't
         | worth it.
         | 
         | So much nasty, pointless noise. I was taught as a kid to "Say
         | nothing at all, if you have nothing nice to say". Now I'm
         | sticking to it, and some.
         | 
         | It's sad for sure, as this represents a macro-level chilling
         | effect on social interaction.
         | 
         | I don't want to be "that Evan guy" in the comments trolling,
         | and I don't want to risk receiving the noise of trolls. So I
         | just opted out.
         | 
         | These days, I just passively consume things online, observing
         | the waves of rage and bigotry, and letting them flow by,
         | knowing I have no stake in their game.
         | 
         | Things are _much better_ in real life, where I have great
         | conversations with friends, family, and coworkers. We can get
         | in to deep conversations and negativity isn 't taken personally
         | like that. Because the bandwidth is higher between participants
         | and we care about each other.
         | 
         | The only remaining way I contribute, is to create one-off
         | accounts, say what I think if it's nice, and never look at it
         | again. I don't want to see the responses, because they just
         | lure you in to wanting to respond, and they end up wasting
         | emotional space in my mind.
        
           | abnercoimbre wrote:
           | I explained once that I think social media as-is _must_
           | perish. A more humane business model should rise from the
           | ashes. Responses boiled down to shrugs stating Twitter
           | reflects society and we can 't escape it.
           | 
           | I'll remain optimistic.
        
           | monksy wrote:
           | I think that a lot of society has changed for the worse given
           | the freedom and aggressive adoption of tech companies
           | "disrupting." (What I mean is: They're given the ability to
           | try to aggressively make money at all costs and force their
           | will. Consequences on people, rights, laws be damned.)
           | 
           | Youtube has no interest in curating great content by
           | creators. They just want to keep that money printer going and
           | keeping people on the site. There was a comment somewhere
           | about the views that someone gets.. honest, good, and
           | educational content doesn't get rewarded as much as a person
           | doing pranks that harm people.
        
         | mrguyorama wrote:
         | Was it really the fallout from this video? William got hit by
         | the same thing most other good Youtubers like him struggle
         | with: Burnout. Youtube and the algorithm want you to put out
         | content every day, and will penalize you, and literally give
         | you less money if you don't. This sucks for the "science"
         | youtubers because their videos are projects that often require
         | months of work and sometimes don't pan out.
         | 
         | NileRed, and close friend of William Osman's, has also
         | significantly reduced his output, because it's absurd. Google
         | wants you to kill yourself putting out as much content as
         | possible, and doesn't care if you have to reduce quality or
         | literally die as a result. If you quit, someone new will take
         | your place.
        
           | PragmaticPulp wrote:
           | > If you quit, someone new will take your place.
           | 
           | Why is this a bad thing?
           | 
           | You wouldn't actually prefer if Google kept new creators from
           | getting views just to benefit old creators who aren't
           | producing as much content, would you?
           | 
           | > Google wants you to kill yourself putting out as much
           | content as possible, and doesn't care if you have to reduce
           | quality or literally die as a result.
           | 
           | No, Google does not want you to "literally die". They aren't
           | taking anything away from old YouTubers by letting users
           | watch content from new YouTubers.
           | 
           | YouTube is an increasingly crowded content and more and more
           | creators are vying for views and advertising dollars. You're
           | ascribing a lot of malice to Google, but you're literally
           | just describing market competition.
           | 
           | The alternative (keeping new content creators locked out so
           | old content creators could continue to profit more) is
           | obviously not viable.
        
           | hackmiester wrote:
           | His followup video about burnout repeatedly referenced the
           | comments he got about the X-ray video. So I'd say it was a
           | large contributing factor.
        
           | chrononaut wrote:
           | > Youtube and the algorithm want you to put out content every
           | day, and will penalize you, and literally give you less money
           | if you don't.
           | 
           | I am not familiar with Youtube's payment system. Are you
           | saying they do something like reduce the $ per ad / per view
           | you receive based on the age of the video?
        
           | beaconstudios wrote:
           | That's why a lot of project based channels lean more on
           | sponsorships, patreon and youtube members for a regular
           | income.
           | 
           | For example, thought emporium (my favourite science youtuber)
           | puts out videos very rarely but they're always big innovative
           | projects and he makes enough to have bought a new lab
           | recently.
        
           | ShamelessC wrote:
           | In this case, I think it's safe for the viewers to share some
           | of the blame with Google.
        
           | dntrkv wrote:
           | William himself said the reason he is stopping is because of
           | the trolls. I don't remember him mentioning the algorithms at
           | all.
        
         | piyh wrote:
         | Cody's Lab did a video series on making yellow cake uranium
         | that got him a visit from g men. Most everything Colin Furze
         | does has mortal danger. Styropyro is probably also on a
         | watchlist. Williams project was dangerous, but I don't see a
         | reason why he should be a pariah.
        
           | anitil wrote:
           | From memory I believe the reason he got the visit was because
           | he made a joke about creating a fusion reactor - something
           | like "until I get my fusion reactor running I'll need to use
           | the sun"
        
           | hef19898 wrote:
           | Promoting dangerous projects on a platform accessible by
           | _children_ (yes, I did it, I said think about the children!)
           | should be a reason to be called out.
        
             | qazpot wrote:
             | If we follow that route a lot of internet would need to be
             | banned.
        
               | hef19898 wrote:
               | Well, there's a reason why we have Youtoube and PornHub
               | on the other hand, don't we?
        
               | mwint wrote:
               | ... which are both accessible by children. I don't see
               | the point you're making?
        
               | hef19898 wrote:
               | If you don't get the difference between a dedicated adult
               | site, with adult content, and a general public platform I
               | see why you don't see the point.
        
               | xboxnolifes wrote:
               | That's why there is Youtube Kids [1]. See, the content is
               | separated. Kids shouldn't be on youtube.
               | 
               | [1] https://www.youtubekids.com/
        
               | adolph wrote:
               | _YouTube Kids is mostly safe, but there 's a small chance
               | kids could see nudity, violence, or just weird stuff, as
               | well as ads for stuff like junk food. Our study found
               | that 27% of videos watched by kids 8 and under are
               | intended for older target audiences, with violence being
               | the most likely negative content type. . . . On the plus
               | side for parents, YouTube offers fair warning that kids
               | may see something that you don't want them to see and you
               | can block and report inappropriate videos._
               | 
               | https://www.commonsensemedia.org/articles/parents-
               | ultimate-g...
        
               | bencollier49 wrote:
               | YouTube Kids is not safe for kids. Am a parent, stopped
               | allowing that long ago.
        
             | robertlagrant wrote:
             | You're right. A parent giving children access to all of the
             | physical equipment to make this, and leaving them so
             | unsupervised that they can do it is fine. The bad thing is
             | making a video of you doing it, in case people pretend
             | you're promoting it.
             | 
             | This is why I will never let my children read a car manual.
             | What if they build a car and run someone over?
        
               | xattt wrote:
               | A car manual only tells you how to operate a specific
               | model of a car, not how to build one ;)
        
               | jstarfish wrote:
               | It's frighteningly easy for children to get their hands
               | on materials like arsenic and thallium. All they need is
               | a credit card and a YouTube tutorial helpfully walking
               | them through the dosage.
               | 
               | I used to share your perspective. Then I ended up with a
               | [step]kid whose only interests in medicine and
               | engineering keep me awake at night.
        
               | marginalia_nu wrote:
               | I get where you're coming from. I knew a kid who was
               | really into making explosives, he ended up blowing
               | himself up one night after cooking up a batch of TATP.
               | Pretty tragic story, he was a bright kid. As I remember,
               | I think he had a single mom who couldn't quite be there
               | for him.
               | 
               | I think the best way of dealing with that sort of
               | situation is to find them a mentor or role model that can
               | show them how it's actually done and turn the interest
               | into something that can be explored safely. I think if my
               | friend had actually known real chemists that could mentor
               | him and that he could talk to about his projects, there's
               | a chance he might have been alive today.
               | 
               | There are things that have an element of danger, and then
               | there are things that are reckless bordering on suicidal.
               | Any real world chemist would probably just stare at you
               | in disbelief if you told them you wanted to make TATP in
               | your bedroom. That isn't just dangerous, it's moronic,
               | beyond reckless.
               | 
               | This stuff is highly explosive and notoriously difficult
               | to handle because of its volatility and propensity for
               | spontaneous detonation. You don't know that if you're 15
               | and getting all your advice from the Internet, though.
               | You may even hear a nickname like "mother of satan" and
               | think it sounds pretty cool. Turns out chemists usually
               | give substances nicknames like that for a reason.
               | 
               | I think what's the most dangerous is kids experimenting
               | alone without any experience based advice from some dodgy
               | internet forum.
        
               | zen_1 wrote:
               | "All they need is a credit card and ..."
               | 
               | The idea of children having access to a credit card
               | strikes me as dangerous and irresponsible for many more
               | reasons than just the odd chance that they use it to buy
               | chemicals online.
               | 
               | If you want to buy something as a child, you use cash or
               | get a parent's permission.
               | 
               | (Preempting the "ok boomer" responses, I'm 22 this year)
        
               | ClumsyPilot wrote:
               | > If you want to buy something as a child, you use cash
               | 
               | Agreed, cash is harder to trace
        
               | zen_1 wrote:
               | True, but I think we're talking about different ages of
               | kid here :)
        
               | cableshaft wrote:
               | It's possible they have access to the credit card without
               | permission. Most people don't keep their credit cards
               | locked up in a gun safe.
               | 
               | Mine could be retrieved right now out of my wallet lying
               | on a tray in my living room. I also don't have children,
               | so I'm not particularly concerned personally. I haven't
               | caught my dogs buying anything online yet.
        
               | vorpalhex wrote:
               | If your kid can and will do things like steal your credit
               | card, make unauthorized purchases and buy explosives..
               | the problem is not that William Osman didn't wear PPE.
        
               | zen_1 wrote:
               | I remember my own experience with "youtube explosives" as
               | a kid.
               | 
               | I'd watched NurdRage's video [1] on how to extract
               | lithium from a certain type of battery and thought that
               | sounded like fun, so I asked my father to help me get the
               | batteries needed. When he then asked me why I needed this
               | specific type of (not cheap) battery, I showed him [1]
               | and he said "That looks dangerous and fun, let's do it
               | together" (or something to that effect).
               | 
               | One hour and some needle nose pliers later, we're down
               | one battery and a burn hole in our bathroom tiles (as a
               | result of a lithium fire that my father immediately
               | suffocated), but up a bonding experience.
               | 
               | Had I tried to disassemble the battery alone (ignoring
               | for a moment how I'd have gotten my hands on it in the
               | first place without my father's knowledge, perhaps by
               | stealing a credit card or with an Alexa's assistance, as
               | other posters have suggested might happen), I probably
               | would have attempted to extinguish the burning lithium by
               | pouring water on it, which I'm sure would have gone
               | excellently :).
               | 
               | I guess the moral of my story is that it's probably more
               | effective to try to earn your kids' trust and ensure
               | their safety yourself, rather than attempt to child-proof
               | the rest of the world (with the assumption that your
               | children will be going behind your back in their attempts
               | to earn Darwin awards in new and exciting ways).
               | 
               | [1]: https://www.youtube.com/watch?v=BliWUHSOalU
        
               | elliekelly wrote:
               | Children don't even need to root around in a parent's
               | wallet. They can just ask Alexa.
        
               | zen_1 wrote:
               | Stealing your parent's credit card strikes me as the more
               | pressing issue here, rather than a youtube video that
               | shows you how to do something dangerous.
        
               | Loughla wrote:
               | You can buy most of these things on amazon with one
               | click.
               | 
               | Source: all of the chemicals I've purchased to blow up
               | tree stumps and what-not that I'm sure have me on some
               | watch list somewhere.
        
               | s0rce wrote:
               | You can get thallium on Amazon? I can't think of a common
               | consumer application of thallium is it in some product?
        
               | duskwuff wrote:
               | There is at least one vendor selling a sample of thallium
               | in an acrylic cube as a collector's item. Unclear how
               | much is actually present, but any perceptible amount
               | would be pretty dangerous if removed from its enclosure.
        
               | dekhn wrote:
               | WARNING: this is serious stuff. Read https://www.cdc.gov/
               | niosh/ershdb/emergencyresponsecard_29750... and
               | https://www.science.org/content/blog-post/thallium-
               | poisoning... and
               | https://www.nbcphiladelphia.com/news/local/chemist-
               | poisoning...
               | 
               | I think you have to go to specialty suppliers.
               | https://luciteria.com/elements-for-sale/thallium-
               | metal-9999
        
             | HideousKojima wrote:
             | You must think all of the high school physics classes that
             | build pumpkin trebuchets are monstrous then.
        
             | buescher wrote:
             | I checked out all of Alfred Morgan's books from multiple
             | public libraries (a platform accessible by children!!!) in
             | the seventies and early eighties. Probably saw the golden
             | book of chemistry experiments at some point too - it looked
             | very familiar when I got a copy of the pdf as an adult. I
             | think the difficulty of obtaining model T spark coils,
             | chemicals ("ask your druggist") etc kept me out of a lot of
             | trouble.
        
             | Hydraulix989 wrote:
             | Ah yes, the think of the children argument. This is why
             | other nice things like chemistry sets and science fiction /
             | fantasy books are also banned.
        
             | vinyl7 wrote:
             | Maybe it's time we don't allow children on the internet.
             | Same way we don't allow children to wonder around in the
             | city by themselves
        
               | kube-system wrote:
               | COPPA is coming up on its 22nd anniversary, it's due for
               | an update.
        
               | mschuetz wrote:
               | Since when do we not allow children to wander around by
               | themselves? It's perfectly normal in Austria.
        
               | hef19898 wrote:
               | Since we do the latter, I don't see problems with the
               | former.
        
               | anamax wrote:
               | Huh?
               | 
               | Where and when don't we allow children to wander around
               | the city by themselves?
               | 
               | In many large cities, kids are expected to use public
               | transit to get to/from school. It's not unknown for
               | parents to send kids on errands. And, how does the kid
               | get to the park?
               | 
               | This "kids can't go anywhere alone" idea is very new.
               | 
               | My Mom complained that the one route that I never used to
               | go to/from school is the one that she showed me.
        
               | sho_hn wrote:
               | It seems to be a recent development in some larger
               | American cities.
               | 
               | I work in a company in Berlin that has job applicants
               | from many different countries, including the US. Common
               | question during the process (we generally require
               | relocation at this point) are:
               | 
               | - "Can my 12yo children go somewhere alone? I'm from
               | Portland/similar and this is not the case here and it's
               | why we're moving."
               | 
               | - "We've been looking and it's really hard to find an
               | apartment in Berlin. We have this ground-floor option,
               | but they just shot the ground-floor windows in across the
               | street here again this morning. Is ground floor safe in
               | Berlin?
               | 
               | I'm no longer surprised when it comes up, but it's quite
               | sad.
        
               | mschuetz wrote:
               | Since when do we not allow children to wander around by
               | themselves? It's perfectly normal in Austria.
        
               | mschuster91 wrote:
               | > Same way we don't allow children to wonder around in
               | the city by themselves
               | 
               | Here in Germany, it's absolutely no problem for kids aged
               | 8 to go to school on their own.
               | 
               | On the other hand, we offer public transport and our
               | cities _are_ walkable...
        
               | hef19898 wrote:
               | Taking the Munich subway during school rush hour was
               | always fun!
        
               | mschuster91 wrote:
               | Oh, a fellow person from Munich! HN is a village.
        
               | hef19898 wrote:
               | It really is!
        
               | rootusrootus wrote:
        
             | sudosysgen wrote:
             | Ah yes, children building X-Ray machines and pulsejet
             | engines without parental supervision, of course.
        
               | adolph wrote:
               | And nukes! Its been a while since I read "The Radioactive
               | Boy Scout" and after rereading it I'm defintely going to
               | keep my kid close as he goes through TCOR's black powder
               | and other experiments.
               | 
               |  _The truth is far more bizarre: the Golf Manor Superfund
               | cleanup was provoked by the boy next door, David Hahn,
               | who attempted to build a nuclear breeder reactor in his
               | mother's potting shed as part of a Boy Scout merit-badge
               | project._
               | 
               | [...]
               | 
               |  _David Hahn taught himself to build a neutron gun. He
               | figured out a way to dupe officials at the Nuclear
               | Regulatory Commission into providing him with crucial
               | information he needed in his attempt to build a breeder
               | reactor, and then he obtained and purified radioactive
               | elements such as radium and thorium._
               | 
               | [...]
               | 
               |  _David's parents admired his interest in science but
               | were alarmed by the chemical spills and blasts that
               | became a regular event at the Hahn household. After David
               | destroyed his bedroom--the walls were badly pocked, and
               | the carpet was so stained that it had to be ripped out--
               | Ken and Kathy banished his experiments to the basement._
               | 
               | [...]
               | 
               |  _Kathy then forbade David from experimenting in her
               | home. So he shifted his base of operations to his
               | mother's potting shed in Golf Manor. Both Patty Hahn and
               | Michael Polasek admired David for the endless hours he
               | spent in his new lab, but neither of them had any idea
               | what he was up to. Sure, they thought it was odd that
               | David often wore a gas mask in the shed and would
               | sometimes discard his clothing after working there until
               | two in the morning, but they chalked it up to their own
               | limited education. Michael says that David tried to
               | explain his experiments but that "what he told me went
               | right over my head." One thing still sticks out, though.
               | David's potting-shed project had something to do with
               | creating energy. "He'd say, `One of these days we're
               | gonna run out of oil.' He wanted to do something about
               | that."_
               | 
               | https://harpers.org/archive/1998/11/the-radioactive-boy-
               | scou...
        
             | [deleted]
        
             | Nextgrid wrote:
             | Maybe we should just ban children going outside lest they
             | see an adult doing something unsafe.
        
           | agumonkey wrote:
           | You can add: photonicinduction. Everybody looks crazy until
           | they're next to this dude. The dimensions involved scare me,
           | and his "goes to 11 is not enough" attitude makes it even
           | worse.
        
             | snerbles wrote:
             | Photonicinduction's videos fulfill the wild mad electrical
             | engineering fantasies I never had the guts to try as an
             | undergrad.
        
             | 0des wrote:
             | There is no pearl clutching in science.
        
           | zen_1 wrote:
           | I believe (though my memory is foggy, so don't quote me on
           | this) Styropyro was approached by some military/DARPA
           | projects with an employment offer, but he reportedly turned
           | it down.
        
           | rhinoceraptor wrote:
           | Colin Furze's videos are much worse in the way he shows not
           | using safety gear. At least an X-Ray tube is hard to come by,
           | hard to use and people generally know it's dangerous.
        
             | iso1631 wrote:
             | He has a safety tie
        
               | teetertater wrote:
               | Even that seems not to be featured anymore in his latest
               | videos
        
             | lsllc wrote:
             | Colin was arrested in 2010:
             | 
             | https://www.mirror.co.uk/news/uk-news/plumber-arrested-on-
             | fi...
             | 
             | (I was going to find a "better" source, but the Mirror's
             | version is a bit more entertaining).
        
             | mananaysiempre wrote:
             | > an X-Ray tube is hard to come by
             | 
             | I don't know what energies you need for medical imaging,
             | but a keV linear electron accelerator is commonly called "a
             | CRT", and it's already powerful enough to screw you up if
             | you really try.
             | 
             | (Of course, the power supply, the flyback converter, and
             | all the other stuff you get at immediately upon opening the
             | case are plenty dangerous even without all the effort it
             | takes to get ionizing radiation out of the tube.)
        
             | throwaway0a5e wrote:
             | Colin Furze is basically a first world mining operation
             | compared to the "look at how they do <insert thing here> in
             | <insert equatorial country here>" type videos that nobody
             | takes any issue with.
             | 
             | There's a double standard in there somewhere.
        
             | RF_Savage wrote:
             | After Osmans video all cheap x-ray tubes ware just gone on
             | ebay for weeks.
             | 
             | This often happens.
             | 
             | The video also did not really emphazise the dangers
             | involved.
        
             | danw1979 wrote:
             | Of Course we should set a good example when it comes to
             | working with dangerous things in our youtube videos. We
             | should use PPE at all times and give clear warnings about
             | the risks throughout the video...
             | 
             | ... But Maybe if you're too stupid to realise that a safety
             | tie isn't actually protective, then maybe your upcoming
             | appointment with evolution is overdue.
        
               | Loughla wrote:
               | Alternate option - stemming from the OP comment - if we
               | want to get _children_ involved in engineering and
               | science fields, and this kind of _cool shit science_ is
               | how we can easily do it, they absolutely have to assume a
               | portion of their audience won 't know what is real and
               | what isn't.
               | 
               | In other words, not everyone is you. Always remember
               | that.
        
               | Robotbeat wrote:
               | Wiley Coyote and the roadrunner rarely wear appropriate
               | PPE. ;) Kids don't watch any cartoons, do they?
        
         | _fat_santa wrote:
         | After watching his X-Ray video, I watched the video where he
         | said he was done with it. The guy needed to stop reading all
         | his comments. Joe Rogan literally has a bit about this exact
         | situation with Youtube comments.
        
           | Maursault wrote:
           | Poor Joe Rogan just can't get a break while singing dangerous
           | praises as though Gospel. He uses his platform irresponsibly,
           | gives voice to crackpots and idiots, and is prone to
           | disseminating misinformation, which makes him remarkably
           | dangerous. Rogan, Hannity and Carlson are only for the weak-
           | minded.
        
             | KennyBlanken wrote:
        
             | trident5000 wrote:
             | Sorry people you dont agree with can have a voice. Theres
             | no such thing as a "dangerous" opinion. Learn to listen to
             | all sides and let others listen to all sides and then make
             | independent decisions. The way you battle terrible speech
             | is with countering speech, not shutting down conversation
             | to your liking.
        
             | ShamelessC wrote:
             | Damn after I found out he made it a habit to say a
             | particular racial slur on the show I figured people were
             | done with this guy. Can't fathom how people think he's
             | defensible (and indeed, not a single downvote has left a
             | defense).
        
           | datavirtue wrote:
           | Why is the reaction "stop making videos?" You can serve
           | videos from Cloudflare and sell your own ad placements to pay
           | the paltry fees...with no one hanging over you. These content
           | creators could easily use YouTube to promote their own site
           | and pivot away.
        
           | [deleted]
        
         | mrtksn wrote:
         | Woah, I was wondering why I'm not seeing new videos from him.
         | 
         | Turn's out, he even made a video about it and I simply missed
         | it: https://www.youtube.com/watch?v=DVCpKfedfok
        
           | strunz wrote:
           | Seems like he's coming back and outsourcing the editing -
           | https://twitter.com/WilliamOsman/status/1486815129563918338
        
         | newacct0 wrote:
        
       | atum47 wrote:
       | He kinda quit after this video. Apparently people gave him all
       | kinds of sh*t in the comments
        
         | mistrial9 wrote:
         | adverse legal actions with non-disclosure perhaps?
        
           | kadoban wrote:
           | No. Youtube is just toxic to one's mental health.
        
             | atum47 wrote:
             | I kinda agree with you. Seems they were even after his
             | girlfriend, being overweight or something.
        
         | dekhn wrote:
         | Rightfully so. I've worked with people who are qualified to do
         | this (literally, a person who stared into a synchrotron) but
         | they limit their commentary to the scientific literature.
        
         | criddell wrote:
         | Were you unable to turn comments off back then?
        
           | blamazon wrote:
           | Turning off comments as an independent YouTube creator is
           | these days potential career suicide, as 'engagement' is a
           | huge part of the algorithm.
           | 
           | What you're "supposed" to do these days, is engage with
           | comments (literally like and reply!) early in your career,
           | when the stream of feedback small and manageable, to drive
           | engagement, and stop looking when they become unmanageable.
           | This strategy is rewarded by YouTube.
           | 
           | Many creators struggle to draw that line because it can feel
           | like turning their back on their fans.
        
       | pkstn wrote:
       | How on earth can x ray cost $69,210.32? Here in Finland it costs
       | something like 20 EUR (well, I know that's not the true cost, but
       | still).
        
         | phkahler wrote:
         | >> How on earth can x ray cost $69,210.32? Here in Finland it
         | costs something like 20 EUR (well, I know that's not the true
         | cost, but still).
         | 
         | How can an x-ray cost more than a pair of shoes? They used to
         | use x-rays at the shoe store to check fit - for free. Say this
         | to any doctor in the US and watch the silence on their face.
        
           | kube-system wrote:
           | A radiologist may give you a better medical diagnosis.
           | 
           | "Is my foot broken? Not sure, but it's a size 10"
        
           | recuter wrote:
           | The doctors of course have as much to do with the price of
           | x-rays as Al Bundy.
        
         | imgabe wrote:
         | > "I avoided surgery, but they still billed nearly $70,000,"
         | Osman tells Popular Mechanics, adding that the bill included an
         | abdominal CT scan, medication, and two nights in a hospital
         | room.
         | 
         | Still exorbitant, but it wasn't just for the X-ray. Ultimately
         | it's because hospitals and insurance companies are part of a
         | legal price-fixing scheme.
        
         | lbriner wrote:
         | I was wondering the same. Sure, I get the fact that people can
         | hike the prices but I thought that the insurance companies
         | would not allow a hospital to charge whatever they like, at
         | least if you want to claim it from insurance.
         | 
         | XRay machines are pretty basic afaik compared to say, an MRI
         | and at that price you could get 2 nights in the New York Hilton
         | penthouse!
        
         | RandallBrown wrote:
         | It wasn't just the X Ray that cost 69k. At the end of the video
         | he calls an urgent care place and it's about $70 for an X Ray.
        
         | jpollock wrote:
         | It costs that much in an emergency room, where the price is
         | based on having multiple x-ray machines + radiologists
         | available, 24/7, 365 with a 5 minute wait.
         | 
         | If you go to a clinic, which works 9-5 M-F, they're $40 (chest
         | x-ray for a green card), 20minute wait.
        
           | deltaonefour wrote:
           | 7-11 is 24/7 hours too and an even faster wait time for a ice
           | cold coke.
           | 
           | I can't tell if your post is just illustrating the difference
           | or justifying it because a 5 minute wait time and 24/7
           | radiologists on call doesn't justify 69k in any reality.
        
         | dekhn wrote:
         | rack rates, amortization, standing infrastructure.
         | 
         | Most people don't pay rack rates (that's the quote for $69K),
         | many orgs amortize costs across many people, and hospitals run
         | 24/7 and have to maintain a lot of standing infra. The capital
         | costs for acquiring a pro-grade x-ray (and staff it) are
         | nontrivial.
         | 
         | But yes, a single x-ray should never cause a bill for $69K.
         | Even if the user only pays $5K.
        
         | CogitoCogito wrote:
         | It doesn't cost that it's just that medical fraud is legal in
         | the US.
        
       | nisegami wrote:
       | YouTuber = William Osman
       | 
       | It always bothers me when blogs don't include the person name's
       | in the title and just refer to them as "YouTuber". It's less
       | egregious when it's social media like Reddit, but it's different
       | when it's the way they earn a living.
        
         | geoffeg wrote:
         | They have to get you to click the link to find the name so they
         | can get the ad impressions. However, you saved me a click!
        
           | lotsofpulp wrote:
           | They also have to stir up outrage by falsifying not only how
           | much the person was billed, but also implying that the bill
           | was simply for an x ray.
        
             | chasd00 wrote:
             | And there's no way the insurance company paid $66.5K. The
             | dollar amount on the bill is like the opening of the
             | negotiation, it always starts way high and comes down from
             | there. There's a rule that if an insurance company pays the
             | bill you send them then you undercharged.
        
               | cjrp wrote:
               | It's in the video, the insurance company paid about $8.5k
               | and he paid another $2.5k. So you're absolutely right,
               | that $69k bill turned into $11k pretty quickly.
        
             | Tronno wrote:
             | I'm not sure how 2.5k for an x-ray and antibiotics is
             | anything less than outrageous. Perhaps that's pocket change
             | for this crowd?
             | 
             | And that's after insurance. The full price is unthinkable
             | to me - most people would be ruined for years.
        
               | floor2 wrote:
               | Because, like every other rage-bait article about
               | healthcare in America, it's a blatant lie.
               | 
               | The article states in addition to the x-ray that "the
               | bill included an abdominal CT scan, medication, and two
               | nights in a hospital room". American hospitals are full
               | of multimillion dollar equipment and trained specialists
               | staffed around the clock.
               | 
               | "The full price" is a fiction relevant only to
               | negotiation of actual price between providers and
               | government/institutional payers, no individual ever pays
               | that. It's an imaginary number used to start price
               | discovery so that the hospital, insurance companies and
               | critically the government medicare/medicaid program can
               | make some set of concessions and discounts so that in the
               | end everyone comes to a "win-win" agreement.
        
               | lotsofpulp wrote:
               | My comment was not intended to indicate whether or not
               | $2.5k is or is not outrageous.
               | 
               | The point of my comment is that $69k was apparently
               | deemed to be sufficiently more outrageous and hence
               | clickbait worthy such that it incentivized the writer to
               | lie about the facts.
        
               | mrguyorama wrote:
               | No. If I go to a hospital and get things done, and do not
               | give them an insurance card, they can send me a bill for
               | whatever numbers they want, and _I am legally required to
               | pay that!_
               | 
               | The fact that you can often negotiate when you have a
               | large debt that you are unlikely to pay _does not change
               | the fact that the debt is legitimate_
        
               | lotsofpulp wrote:
               | Sure, but that is not relevant here because the person in
               | the article did not receive a bill for $69k. My comments
               | were strictly about the "journalist" painting the wrong
               | picture about this specific scenario in order to incite
               | emotion, presumably in order to get more people to click.
        
               | ars wrote:
               | An x-ray in the US is around $30 if you pay for it
               | yourself. The 2.5K is the article lying to you to get
               | clicks.
        
         | cbozeman wrote:
         | I don't think that's by accident.
         | 
         | If someone works in legacy media, like network and cable
         | television, printed newspaper or magazine, and they don't
         | clearly see the shift away from print and broadcast media to
         | Internet video, then they're totally behind the curve, and they
         | doing exactly what you always see people in dying prominent
         | institutions do - struggle to maintain relevancy using any
         | method possible. In this case, I would argue, "downplaying" so-
         | called "new media" people.
         | 
         | Sam Harris said it best when explaining why he doesn't make
         | book writing his focus any longer: "I can reach 100,000 people
         | by writing a book, which will take about a year from idea to
         | published hardcover, or I can record a podcast, which will take
         | a day, and reach 500,000 people."
        
         | hexane360 wrote:
         | This is just how you write headlines though. It's not "<some
         | person you've never heard of> proposes bill", it's "California
         | state senator proposes bill". It's not "<some random engineer>
         | makes new technology", it's "Engineer makes new technology".
         | 
         | I don't think it's related to trying to devalue 'YouTuber' as a
         | profession.
        
           | icholy wrote:
           | I believe he is an engineer.
        
         | [deleted]
        
         | dewey wrote:
         | > After receiving a medical treatment that included a round of
         | antibiotics and an X-ray scan, Californian Will Osman thought
         | he got stuck with a $69,000 hospital bill. Luckily, Osman's
         | insurance covered most of the bill, but that still left him on
         | the hook for $2,500.
         | 
         | That's the first sentence of the article. Doesn't that cover
         | that pretty well?
        
           | xeromal wrote:
           | I think they mean his name should be in the title of the
           | article.
        
             | dewey wrote:
             | Doesn't really make sense to me. If it would say "Will
             | Osman Builds His Own X-Ray Machine" it doesn't really
             | convey the same message as "YouTuber" which is kinda
             | equivalent to "a regular person" and not a professional
             | x-ray engineer.
        
               | hef19898 wrote:
               | I highly doubt a professional would do it, or at the very
               | least not post it oblibe if they did.
        
               | scrumbledober wrote:
               | I'm sure there's room for "Youtuber William Osman Builds
               | His Own X-Ray Machine"
        
       | xwdv wrote:
       | So much hospital bill stuff is just rampant clickbait. A man got
       | a $120k hospital bill after an allergy attack, a baby costs $36k
       | to be born, etc.
       | 
       | No one actually pays these amounts without insurance and if you
       | have no insurance you probably don't pay at all and just default
       | on the debt. No one is paying this. No one. You never hear
       | stories of people being utterly bankrupted by a huge hospital
       | bill.
        
         | matthewmacleod wrote:
         | Quite literally the biggest cause of bankruptcies in the US.
         | http://www.pnhp.org/docs/AJPHBankruptcy2019.pdf
        
           | anamax wrote:
           | The data in that paper doesn't support the conclusion.
           | 
           | Loss of income was the big problem, by far.
        
         | rdedev wrote:
         | https://www.theguardian.com/us-news/2019/nov/14/health-insur...
         | 
         | An article about insured people going medically bankrupt. When
         | things go according to plan and insurance covers everything it
         | all good but when it doesn't it next to impossible for people
         | to afford it. And it's not like bankrupois without consequences
        
           | xwdv wrote:
           | The medical bill isn't why they go bankrupt. They lose their
           | job to disability and thus their income and now they can't
           | pay any kind of bills. Or they were just in a bad financial
           | state to begin with.
        
         | aqme28 wrote:
         | > You never hear stories of people being utterly bankrupted by
         | a huge hospital bill.
         | 
         | Isn't medical bankruptcy the leading cause of bankruptcy? What
         | are you talking about?
        
           | anamax wrote:
           | > Isn't medical bankruptcy the leading cause of bankruptcy?
           | 
           | No.
           | 
           | People go broke when they get sick because they can't work.
           | 
           | Medical bills are the easiest to dodge.
        
             | damontal wrote:
             | medical bills get sent to collections just like any other
             | bill
        
               | xwdv wrote:
               | Part of the reason why health insurance is so expensive
               | is that so many simply do not pay their bills. You
               | subsidize all these people with your premiums.
        
               | ars wrote:
               | And that's where they stay. Nothing happens if you just
               | ignore them.
        
               | olyjohn wrote:
               | Doesn't that destroy your credit?
        
               | xwdv wrote:
               | No
        
           | marcusverus wrote:
           | The idea that medical bankruptcy is the leading cause of
           | bankruptcy is a carefully engineered fiction. The claim is
           | normally worded something like "2/3 of bankruptcies are
           | caused by medical bills" and includes a reference to an
           | academic study[0], so it sounds super legit! But not only
           | does the study _not_ support the claim--it clearly
           | contradicts the idea that Medicare For All would improve the
           | situation.
           | 
           | You're probably rolling your eyes right around now, so I'll
           | dispense with the characterizations and move on to the proof.
           | 
           | First of all, here's the actual main takeaway from the study:
           | 
           | > 62.1% of all bankruptcies have a medical cause.
           | 
           | Huh. "having a medical cause" is far from "caused by medical
           | bills", right?. I wonder what "a medical cause" means?
           | 
           | > We included debtors who either (1) cited illness or injury
           | as a specific reason for bankruptcy (27%), or (2) reported
           | uncovered medical bills exceeding $1,000 in the past [two]
           | years (27%), or (3) lost at least two weeks of work-related
           | income because of illness/injury,(27%) or (4) mortgaged a
           | home to pay medical bills. (2%)
           | 
           | So if I had a $1000 dollar operation two years ago, paid it
           | off, then filed bankruptcy when my small business tanked last
           | month, mine would be a "Medical bankruptcy".
           | 
           | Further down in the article, it gets better:
           | 
           | Only 35% of debtors had medical bills >$5000, while 92% of
           | the 62% ("medical bankruptcies") had medical bills >$5000.
           | But the average net worth for "medical bankruptcies" was
           | _-$44,000_ (negative $44,000), while the average annual
           | income was $31,000. In other words, these are people who,
           | even in the absence of their medical debt, would almost
           | certainly have been filing for bankruptcy anyway.
           | 
           | BTW--the median income of one of these bankruptcies, in
           | conjunction with their median household size of 2.79, makes
           | it clear that the vast majority of them were be eligible for
           | Medicaid! Would a rebranding of their state-run healthcare
           | leave them any better off?
           | 
           | [0] https://www.amjmed.com/article/S0002-9343(09)00404-5/full
           | tex...
        
             | xwdv wrote:
             | I feel a lot of this should have been obvious to the HN
             | crowd but it seems like they fell for the fiction.
        
             | haveyoubeen wrote:
             | Why do you think insurance companies are so happy to pay
             | these exorbitant sums to the medical industry?
             | 
             | Like what is there motivation?
             | 
             | Anyone with a brain can see none of this makes sense. You
             | have planted an entire forest of bullshit above that nobody
             | can verify is true or not.
             | 
             | The middle class is being wiped out. Everyone knows this.
             | It's happening from all angles and everyone knows medical
             | bills are one of the main weapons used by the government to
             | do it.
        
               | marcusverus wrote:
               | > Why do you think insurance companies are so happy to
               | pay these exorbitant sums to the medical industry?
               | 
               | I have no idea what you're asking.
               | 
               | > Anyone with a brain can see none of this makes sense.
               | 
               | We're in full agreement!
               | 
               | > You have planted an entire forest of bullshit above
               | that nobody can verify is true or not.
               | 
               | If only I'd linked the study!
               | 
               | > The middle class is being wiped out. Everyone knows
               | this.
               | 
               | Yes, with more people moving to the upper class than the
               | lower.[0] And the increase in lower-class households is
               | _totally_ unrelated to the fact that all US population
               | growth is driven by low-skill immigration!
               | 
               | > It's happening from all angles and everyone knows
               | medical bills are one of the main weapons used by the
               | government to do it.
               | 
               | Of course! Democratic governments with consumer-driven
               | economies are notorious for their hatred of the middle
               | class!
               | 
               | [0]https://www.pewresearch.org/social-
               | trends/2016/05/11/america...
        
         | rsynnott wrote:
         | > and if you have no insurance you probably don't pay at all
         | and just default on the debt. [..] You never hear stories of
         | people being utterly bankrupted by a huge hospital bill.
         | 
         | ... I mean, I assume one of the more common methods of
         | defaulting is bankruptcy?
        
           | cjbgkagh wrote:
           | I didn't know you could default on a debt without later going
           | bankrupt to get relief from debt collectors
        
       | ghotli wrote:
       | https://en.wikipedia.org/wiki/Therac-25
       | 
       | ^^ I won't editorialize much, but this is the first thing I
       | thought of.
       | 
       |  _It was involved in at least six accidents between 1985 and
       | 1987, in which patients were given massive overdoses of
       | radiation. Because of concurrent programming errors (also known
       | as race conditions), it sometimes gave its patients radiation
       | doses that were hundreds of times greater than normal, resulting
       | in death or serious injury._
        
         | throwaway0a5e wrote:
         | Chemotherapy radiation is not x-ray radiation.
        
           | ghotli wrote:
           | -\\_(tsu)_/-
           | 
           | Hope you enjoyed the link regardless
        
           | roywiggins wrote:
           | "The machine had three modes of operation... A "field light"
           | mode... Direct electron-beam therapy... Megavolt X-ray (or
           | photon) therapy, which delivered a beam of 25 MeV X-ray
           | photons"
           | 
           | So, still x-ray radiation, but at much higher voltages than
           | diagnostic x-rays.
           | 
           | (The accident was indeed overexposure to the electron beam,
           | not to the x-rays, but the electron beam was part of the
           | process for producing the x-rays in normal operation)
        
           | Rebelgecko wrote:
           | What is "chemotherapy radiation"?
        
           | habi wrote:
           | _Chemotherapy_ is fighting cancer with drugs, not radiation:
           | https://en.wikipedia.org/wiki/Chemotherapy
           | 
           | Often, the fight does involve radiation therapy in addition,
           | though!
        
       | ck2 wrote:
       | I was looking for mobile x-ray truck services when I came across
       | this article.
       | 
       | I do wish by now there was some kind of DIY at-home safe
       | alternative to x-ray with resolution say better than ultrasound,
       | so you could check for fractures in your feet, etc.
       | 
       | Guess we have at least another decade for that, requires a leap
       | in technology. But I bet by the end of the century you'll be able
       | to do it on your smartphone or whatever people are using by then.
       | 
       | How about some kind of film or sensor that needs minutes of
       | particle exposure from a far lesser powerful source? You would
       | rest your foot or limb on the film or sensor for a minute. There
       | would be a little blur but manageable, maybe corrected digitally?
        
         | hef19898 wrote:
         | We had home-use x-rays in 50s. There is a reason we stopped
         | having those, there are reasons why medical devices are
         | regulated. Promoting home-build stuff is dangerous. Especially
         | since non-trained people just don't know what they are looking
         | at when looking at x-ray pictures.
        
         | lbriner wrote:
         | The imagery equipment is one thing, the other is the skill to
         | interpret what you see. Sure, a bad fracture might be obvious
         | but there are many very subtle things that are not so easy to
         | see or understand. The radiographer will know the equipment but
         | will usually have to defer to the Doctor for expert advice.
         | 
         | Mobile equipment does exist, however it is usually used at
         | smaller hospitals who don't have the space or money for a
         | permanent unit.
        
         | everforward wrote:
         | > How about some kind of film or sensor that needs minutes of
         | particle exposure from a far lesser powerful source? You would
         | rest your foot or limb on the film or sensor for a minute.
         | There would be a little blur but manageable, maybe corrected
         | digitally?
         | 
         | I think that blur would be problematic for fractures, at least
         | for the variety where you aren't sure whether you should go to
         | the hospital or not.
         | 
         | More generally speaking, even if we had a safe way to get
         | X-rays at home diagnosing them is hard. The "bone is torn in
         | half" ones are easy to see, but I don't think you'd even need
         | an X-ray to diagnose that. The more subtle breaks are hard to
         | pick up on. I googled for fracture X-rays, and on a lot of them
         | I can't tell whether there's a fracture or not unless it's
         | obviously snapped in 2.
         | 
         | At home X-rays make less sense to me if you're going to have to
         | have a radiologist look at it anyways. You might as well go to
         | an outpatient imaging place anyways.
        
           | aorloff wrote:
           | American medical industry is worried that once the xray is
           | taken, you can ship it to another country where a trained
           | physician can look at it and diagnose it for $50. The problem
           | is that the American doctor needs to make orders of magnitude
           | more money to diagnose. Hopefully we will see this kind of
           | disintermediation, because for routine stuff (broken bones)
           | costs should be way lower than they are.
        
             | throwaway0a5e wrote:
             | >because for routine stuff (broken bones) costs should be
             | way lower than they are.
             | 
             | Yeah that tends to happen when insurance gets involved in
             | routine care.
             | 
             | Not that the doctors don't deserve some credit.
        
       | gxt wrote:
       | Fine US lawmakers should have Congress outlaw scalping. Then
       | victims of the US medical system would have a novel argument to
       | sue goodness into the damn thing.
        
       | Maursault wrote:
       | My issue with X-rays is that they are massively overused and
       | rarely help the diagnosis. 99.9% (an estimation) of X-rays are
       | used to rule out diagnoses. Sprain your wrist? Need an X-ray to
       | make sure it's not broken, which your orthopedic already knew.
       | Unless there's a broken bone or cancer, all X-rays do is pay for
       | the X-ray machine.
       | 
       | Tip: never X-ray your pet (unless there is a broken bone or
       | cancer is suspected). Trust me, it is very unlikely to show
       | anything. If you're very concerned, go right for the ultrasound,
       | which probably also won't show anything. Vets are generally
       | awesome individuals, however, veterinary medicine is a business
       | for profit quite unlike the health system, and most vet X-rays
       | merely serve to pay for and justify the expense of the machine.
        
         | kube-system wrote:
         | If that diagnosis is actually being considered, ruling it out
         | is a very important function, isn't it?
        
         | q1w2 wrote:
         | Humans are far more likely to break bones than pets - so I
         | agree that it's almost never worth it to get a pet xray.
         | 
         | For humans though, as someone who's worked in a hospital, xrays
         | are extremely useful. We see lots of broken bones. Confirming
         | the break is important so that you know to put the patient in a
         | cast, but more importantly, the type of break can sometimes
         | require surgery to set the bone.
         | 
         | I'm not sure how many xrays rule out a fracture, rather than
         | confirm it, but it's not 99.9%. If I had to guesstimate, maybe
         | 10-20% of possible fracture xrays confirm a fracture. That
         | percentage probably increases greatly as patients age. Kids
         | very often come in with sprains that their parents want xrays,
         | whereas a lot of elderly people break bones more easily.
        
         | tsol wrote:
         | >Need an X-ray to make sure it's not broken, which your
         | orthopedic already knew.
         | 
         | Not sure where this assumption is from. A doctor can sometimes
         | tell when something is outright broken, but in a lot of cases
         | they need to take x-rays to tell if there's a hairline fracture
         | or something small that might not present with a lot of pain. X
         | rays also tell the actual severity.
        
       | jypepin wrote:
       | I just saw someone on tiktok showing how they made their own
       | invisiline from a scan of their teeths. They programmed their own
       | multi-step adjustment, bought a special 3d printer and printed
       | all their invisiline things. Unsure how efficient or comparable
       | theirs will be to the right thing, but I found that very
       | interesting what a single person can do nowadays!
        
         | starlust2 wrote:
         | Invisiline are actually 3D printed. Formlabs markets a printer
         | for dental usecases. As long as your models and movement
         | calculations are correct they'll work the same, but probably
         | not an easy task.
         | 
         | https://dental.formlabs.com/materials/
        
         | lbriner wrote:
         | As with all of these things, it depends how much you can
         | research what you are doing and what risk you want to take.
         | 
         | When I first had a retainer, they put this hair-thin wire in
         | the clips and it didn't make any sense to me, it was so thin,
         | it seemed pointless until the next morning when my teeth were
         | really sore.
         | 
         | The dentist knew that because they are trained. They know when
         | to adjust wires etc. same with invisiline: sure you aren't
         | going to die but that doesn't mean you can't do some damage to
         | your teeth or jaw.
        
         | adenta wrote:
         | Could you send a link? I thought _I_ was cool for just making a
         | thermoform mold of my teeth that I've been documenting at
         | https://www.tiktok.com/@unofficial_denta.istry
        
         | sergiotapia wrote:
         | Note that guy said he had personal connections to an "dental
         | mechanic" (mecanico dental, don't know what it's called in
         | English). Basically someone professional and licensed to verify
         | his molds and steps were correct.
        
           | kube-system wrote:
           | > (mecanico dental, don't know what it's called in English)
           | 
           | Dental lab technician?
        
         | teeray wrote:
         | DIY orthodontics is interesting but also horrifying if it goes
         | wrong (there are pictures, I will not link them)
        
         | drBonkers wrote:
         | Do you have a link to that?
        
       | sgjohnson wrote:
       | It was not a $69k hospital bill. It was just $2500 for him.
       | 
       | But it sure does make a good headline.
        
         | throwaway675309 wrote:
         | Trivializing the cost as "just $2500" speaks more about your
         | privilege than it does anything else.
        
           | sgjohnson wrote:
           | It has nothing to do with privilege or anything other than
           | basic relativity. $2.5k is "just $2.5k" relative to $69k for
           | everyone.
        
         | deltaonefour wrote:
         | Well where did that 69k number come from? Seems like the person
         | at fault here is person that generated that ludicrous number
         | that's completely BS.
        
         | datavirtue wrote:
         | It wasn't 69k either. That's the troll number the hospitals and
         | insurance companies use to shock people and justify the actual
         | high prices.
        
           | mrguyorama wrote:
           | But when they send you that bill, it is a legally valid debt
           | that you owe them.
           | 
           | The fact that you can negotiate large debts _does not change
           | that_
        
         | nanoservices wrote:
         | Sure... Who is the hospital billing $69k to, the insurance?
         | Also $2,500 is still a lot.
        
           | sgjohnson wrote:
           | Nobody. Not even the insurance company paid that.
        
         | telchior wrote:
         | Not a completely unreasonable headline, considering that an
         | uninsured person would get a bill for something probably closer
         | to $69k than $2.5k. I've gotten one of those bills before, and
         | IMO the insanity of it cannot be pointed out enough times.
        
           | bpodgursky wrote:
           | This is true and the system is incredibly wasteful and dumb,
           | but to be clear those uninsured people would immediately
           | negotiate it down to about $250 by calling and saying "wtf am
           | I supposed to do with this bill".
        
             | olyjohn wrote:
             | Or they just put you on a payment plan for the rest of your
             | life.
        
       | sofixa wrote:
       | I wonder what kind of innovations we're missing in the EU with
       | our affordable healthcare.
        
         | jaykk wrote:
         | the whole title is clickbait. he got insurance.
        
           | squarefoot wrote:
           | > the whole title is clickbait. he got insurance.
           | 
           | Those fees are crazy nonetheless.
           | 
           | I don't have any insurance and during the last 1.5 years I
           | suffered symptomatic Covid (medicines and vaccines free),
           | then a road accident with multiple fractures: left arm, right
           | shoulder, both wrists and L4, (nearly 2 months hospitalized
           | plus long rehab to learn to walk again: all free excluding
           | the fees for printing the medical data, which were over 400
           | pages, and MRI/RX/CT images DVDs: around 20 Euros all
           | included), then last January I got a heart attack and was
           | hospitalized in a coronary care unit for 4 days plus 1 day at
           | the ward where I was planted two stents: again all free
           | including the 1st bag of medicines.
           | 
           | 20 years ago I worked in the IT, pays were very good and
           | therefore taxes were high, but all considered, in the end I
           | got a lot more than I paid for. I could think of a thousand
           | things I don't like at all about my country, but healthcare
           | is definitely not one of them.
        
             | Teknoman117 wrote:
             | I think my post major car accident care (x-rays, ct,
             | ambulance ride - had concussion) 10 years ago cost me $100
             | all said and done on my parents' kaiser plan in California.
             | 
             | When I walked into a kaiser urgent care last year for
             | serious back pain I had chest X-rays and a CT and I paid
             | $20.
             | 
             | The major issue is that you only get that kind of
             | healthcare working for a decent company (and using an HMO
             | plan). Not everyone has the access and that's the issue.
        
               | dekhn wrote:
               | IMHO kaiser is amazing. they have a different incentive
               | from typical for-profit medical companies.
        
             | azinman2 wrote:
             | Your healthcare cost a lot more than the 20 euros or "free"
             | that you said. In the US it's a bit more transparent since
             | you're receiving the bill. In a shared public healthcare
             | system everyone foots the bill via their taxes. I'm sure
             | hospitals make out more in the US -- the entire system is
             | designed to create profit at every stage - but saying
             | things are "free" elsewhere is disingenuous.
             | 
             | He also built an x-ray machine, but his charges per the
             | article were for a CT scan and staying at the hospital. A
             | CT scan is a totally different beast than an x-ray machine,
             | and staying at the hospital means you're actively under
             | medical care the entire time. It's all very clickbaity.
        
               | jackson1442 wrote:
               | The US spends the most per-capita on healthcare in the
               | world.
        
               | TomK32 wrote:
               | It does, but not very efficiently:
               | https://www.uclahealth.org/u-magazine/u-s-ranks-near-
               | bottom-...
        
               | Teknoman117 wrote:
               | Some days I wonder if we're subsidizing Europe's
               | healthcare in a way.
               | 
               | European counties impose stringent controls on how much
               | money their public health system will pay for something
               | and in response, since said company still wants that
               | money, it ends up jacking up rates in the US.
        
               | jackson1442 wrote:
               | We certainly are. But I think global healthcare spend
               | would still decrease if the US were to adopt strict price
               | controls a la Europe. Of course, Europe will need to pay
               | a bit more towards healthcare but the burden on the
               | states would be much decreased.
               | 
               | I don't imagine it would come anywhere close to the cost
               | we currently pay for services here though.
               | 
               | It's the same as university here in the states. If
               | colleges know that students are walking in with a minimum
               | of $45k, guaranteed from the federal government, why
               | wouldn't a university charge anything less than that for
               | a degree?
        
               | TomK32 wrote:
               | You mean because a large chunk for R&D in medicine is
               | done in the USA? Maybe that is because in the USA pharma
               | companies can go mental about pricing their products, who
               | wouldn't want such a lucrative market that's easy to
               | exploit thanks to a well-oiled lobby machinery? I highly
               | doubt that pharma companies would stop their R&D if the
               | USA was to introduce universal healthcare for everyone of
               | its citizens.
        
               | [deleted]
        
           | sofixa wrote:
           | > Luckily, Osman's insurance covered most of the bill, but
           | that still left him on the hook for $2,500.
           | 
           | That's still far more than you'd pay for most healthcare
           | related things across the EU.
        
             | lbriner wrote:
             | The problem is that the cost for healthcare is hidden. In
             | the UK, we have "National Insurance" but it doesn't work
             | like normal insurance. It goes into the same big pot as
             | everything else and gets spent on whatever.
             | 
             | It is a hard balance but sometimes when I see people doing
             | stupid things that land them in the ER, I kind of wish that
             | their premium would increase as a result. That said, I
             | think the largest cost in healthcare is the care of the
             | elderly: We somehow keep people breathing for much longer
             | than 50 years ago but it doesn't stop their bodies needing
             | some big maintenance or long-term residential care.
        
               | kube-system wrote:
               | Health insurance premiums in the US don't raise people
               | rates if they do stupid stuff, with the single exception
               | of smoking. Rates are basically set based on three
               | factors: age, location, and smoking status. You do share
               | costs if there's an accident, but daredevils and school
               | teachers get the same rate at the same age in the same
               | city.
        
             | floor2 wrote:
             | So about 3-4 days of work as an entry-level Facebook
             | developer, or 3-3.5 weeks of work at a McDonalds (based on
             | every fast-food place around me having billboards up
             | offering starting wages of $18-20/hr).
             | 
             | Getting access to emergency life-saving treatment, which
             | leverages billions of dollars in research & development and
             | hours of work from a team of doctors, radiologists, nurses,
             | pharmacists, support staff, etc in exchange for being asked
             | to contribute back to society by cooking burgers for a
             | month feels like a pretty amazing offer compared to how
             | almost all humans have existed in history and most still do
             | around the world today.
        
               | mustacheemperor wrote:
               | Since the typical fast food service worker see almost
               | their entire paycheck go to living expenses before any
               | opportunity for luxuries or savings, that does indeed
               | sound like a crippling if not insurmountable financial
               | burden for someone who incurs an x-ray expense like this
               | unexpectedly. Especially since whatever reason they have
               | for needing an x-ray could affect their ability to earn
               | income from McDonalds. I don't think hourly wage work
               | offers the same perks as entry-level development roles at
               | facebook with regards to paid sick leave.
        
               | roywiggins wrote:
               | > 3-3.5 weeks of work at a McDonalds
               | 
               | Sure, if you don't pay for rent, food, or transportation
               | to work.
        
               | matthewmacleod wrote:
               | Alas, still no cure for Stockholm Syndrome.
        
               | buescher wrote:
               | This example is totally unrealistic. In the USA someone
               | supporting themselves working at McDonalds would qualify
               | for Medicaid and have essentially no out-of-pocket
               | medical expenses.
        
               | cjrp wrote:
               | > 3-3.5 weeks of work at a McDonalds
               | 
               | With a broken limb (which is presumably why you required
               | the X-ray in the first place)?
        
               | ljp_206 wrote:
               | The fact that we have better health infrastructure in
               | most places worldwide than ever before in human history
               | is true. But saying a surprise, out-of-the-blue 2.5k
               | medical bill can be taken care of by working nearly a
               | month at McDonalds without factoring the high cut of that
               | wage that goes to living is facile at best and cruel at
               | worst.
        
             | db48x wrote:
             | True, but it's also more complex than that. I don't know
             | the story here, but the $69k bill sounds like he went to a
             | hospital to get treated.
             | 
             | Hospital prices in the US are always lies; his insurance
             | company probably paid around $10k in total and perhaps even
             | less than that. Of course the insurance company doesn't
             | generally tell their customers exactly how much they
             | actually paid the hospital. He could have gotten a more
             | reasonable bill by asking the hospital for the cash price
             | for everything, writing them a check for that amount, and
             | then getting reimbursed by his insurance company. It might
             | still have been more than his out-of-pocket limit, in which
             | case he still would have paid the $2,500.
             | 
             | But his real mistake was probably going to the hospital in
             | the first place. He probably should have gone to his
             | Primary Care Physician or to an Urgent Care Clinic. Either
             | one of them can admit him to a hospital if it turns out to
             | be necessary, but it probably would not have been. I see in
             | another comment that he needed an X-Ray, a CT scan, and
             | some medication. He could have gotten all of that at an
             | urgent care clinic for $1,000 or so, and slept in his own
             | bed that night.
             | 
             | It pays to shop around, and you can do so _before_ you get
             | hurt.
             | 
             | Finally, don't forget that in addition to the $2,500 he
             | paid, he also paid his insurance company even in years that
             | he wasn't injured or ill. Likewise, you pay taxes every
             | year and part of that goes to pay for healthcare, even if
             | you aren't actually injured or ill.
        
               | Dylan16807 wrote:
               | $10k is still a ridiculous amount.
        
               | jhallenworld wrote:
               | I was just in the ER in SouthWest Florida: $12K for two
               | CT-scans and blood tests over two days, basically to
               | check if I was having appendicitis (I did not- probably
               | infection from prior kidney stone). No overnight stay,
               | but two visits over two days. $12K is the initial bill to
               | my insurance company, so not sure what they will actually
               | receive.
        
               | yazaddaruvala wrote:
               | I had a similar ER visit for "possible appendicitis". It
               | turned out to be a sprained psoas.
               | 
               | I've since had it again, but was more aware of what to
               | feel for and didn't seek out the ER. Might be worth it to
               | keep in mind if you have something similar again.
               | 
               | https://en.wikipedia.org/wiki/Psoas_major_muscle
        
               | db48x wrote:
               | I agree. That's why most of the time you shouldn't visit
               | a hospital; you can get the same work done elsewhere for
               | much less money.
        
               | its_ethan wrote:
               | So how much should it cost? And how do you arrive at that
               | number?
        
               | fesoliveira wrote:
               | In Brazil an x-ray exam will cost you no more than 90
               | BRL, or less than 20 USD in todays rate. And this is out
               | of the pocket, without insurance. If a 3rd world country
               | can have affordable healthcare, why should having minor
               | health complications be synonym to bankruptcy in the
               | richest country in the world?
        
               | db48x wrote:
               | I live in one of the highest-priced areas of the US, and
               | a simple x-ray exam costs about $200 whether you have
               | insurance or not. The difference in price is primarily
               | due to the higher cost of living here than in Brazil; the
               | tech who takes the x-ray and the doctor who looks at it
               | to diagnose the problem get paid more here than there. I
               | should know; I got hit by a car last year and sprained my
               | thumb when I hit the ground. The x-ray was to check that
               | the thumb was only sprained, and not broken.
               | 
               | But if you go to a hospital to get the same thing you
               | will pay 10x as much or more. You'll also have to wait a
               | lot longer, as anyone with a more serious complaint will
               | get prioritized ahead of you. Both of these are reasons
               | why people should not generally visit the hospital,
               | unless they have a problem which is immediately life-
               | threatening, or they are admitted to the hospital by
               | their primary-care physician.
               | 
               | > why should having minor health complications be synonym
               | to bankruptcy in the richest country in the world?
               | 
               | It's not. For all of the problems that our health-care
               | system may or may not have, people don't go bankrupt
               | because they needed an x-ray.
        
               | kube-system wrote:
               | There is no good reason the US can't bring down
               | healthcare costs, but there are also some not so good
               | reasons that some countries have very cheap healthcare.
        
               | its_ethan wrote:
               | Genuine question, how are you so confident that reducing
               | prices from current levels wouldn't cause unintended
               | consequences like causing innovation to stifle, hiring to
               | become more difficult, or health infrastructure to
               | degrade? You can point to other countries having lower
               | prices, sure, but just like you said - there are plenty
               | of reasons why other countries can be cheaper than in the
               | US.
        
               | kube-system wrote:
               | Because we have inefficiencies that are baked into the
               | status quo. Insurers, for example, provide little value
               | to health outcomes. Their purpose is purely financial,
               | and there are much more simple ways to shift that money
               | around that requires less administrative overhead, and
               | allows prices to be set by better methods than threats by
               | insurers, which is basically how they're set now.
        
               | phkahler wrote:
               | It should not cost more than a pair of shoes. They used
               | to use x-rays to check fit at the shoe stores - for free.
        
               | its_ethan wrote:
               | You mean back in the 1930s when you stuck your foot in a
               | _wooden_ box with an open X-ray tube and got yourself and
               | nearby customers exposed to radiation at a significantly
               | higher dose than even a full torso x-ray in modern times?
               | Okay, my guy...
        
       | marcodiego wrote:
       | Your own x-ray machine... This is on my list of "do not try this
       | at home".
        
       | candiodari wrote:
       | Why not do tomography instead? Uses infrared radiation mostly, so
       | it's less harmful than looking at a fire.
        
         | habi wrote:
         | Classic tomography does _not_ necessarily use IR light. One
         | needs radiation that penetrates the object to be imaged, hence
         | X-rays.
        
       | TomK32 wrote:
       | He just could move to Canada or Europe and avoid insane hospital
       | bills. Just saying.
        
         | jedimastert wrote:
         | > He just could move to Canada or Europe
         | 
         | You know it consistently baffled me that someone can look at a
         | person who struggles to pay a hospital bill and think that
         | moving to a different country is a viable option.
        
           | 28uwedj wrote:
           | When the moving cost is 1/100th of the hospital bill. really?
           | this baffles you? it's an investment.
        
         | txcan wrote:
         | And wait for 100 years to get their free X-ray done in Canada ?
        
           | TillE wrote:
           | I got an MRI (way more complicated than an x-ray) done in
           | Berlin in about a week, for no charge, on public health
           | insurance.
           | 
           | But sure, defend an objectively insane system because it's
           | what you're used to.
        
           | fesoliveira wrote:
           | I don't know where did you get such information, but it takes
           | a few days of wait at most in Canada to get an X-ray.
        
           | deltaonefour wrote:
           | I'm weirded out by the number of people on HN defending the
           | US medical system. As someone living in the US mayself,
           | everyone is well aware how crazy the medical system is, but
           | in this thread there's a large number of people trying to
           | justify 69k for an "expert" pushing a button to zap you with
           | rays.
        
             | kube-system wrote:
             | It's a system that needs some changes, but also, the bill
             | wasn't for an x-ray and nobody paid $69k.
        
               | deltaoneseven wrote:
               | The first thing wrong with the system is that number.
               | 69k. Even if nobody paid 69k. Who made up that BS number
               | and for what insidious purpose?
        
       | kartoolOz wrote:
       | Single X-ray session costs 4$ in my state in India
        
         | hackmiester wrote:
         | Yes, but unfortunately modern medical billing practices have
         | not yet come to Osman's home country.
        
         | brezelgoring wrote:
         | He's American, it probably costs him thousands just to book it.
         | 
         | I'm from a third world hellhole and it costs me just 8 bucks to
         | do it.
        
       | [deleted]
        
       | mcntsh wrote:
       | For anyone layman who wants to mess around with radioactive
       | technology, I recommend reading about the "Goiania accident"[1]
       | 
       | [1]: https://en.wikipedia.org/wiki/Goi%C3%A2nia_accident
        
         | throwaway0a5e wrote:
         | Comparing screwing around with dental xray equipment (or any
         | x-ray equipment really) to distributing the radioactive bits of
         | chemotherapy equipment across a neighborhood is like saying "be
         | careful, you wouldn't want to accidentally blow up a government
         | office building" every time someone starts talking about plant
         | fertilizer or lecturing someone who's installing 12v car audio
         | about transformer substation safety practices. The magnitude
         | difference between the subjects is so big it constitutes a
         | qualitative difference even if there is a common element.
         | 
         | Not every discussion about something in the physical world
         | needs to start with a low effort comment about how you can die
         | by cranking it to 11 and then abusing it.
        
           | ultimape wrote:
           | In the context of buying used hospital equipment and the
           | concerns of a layman making a mistake due to the very
           | confusion you highlight... Seems at least relevant.
        
         | WinterMount223 wrote:
         | An x ray lamp is not radioactive unless you are eating bananas.
        
         | jjoonathan wrote:
         | Anyone who thinks these are comparable should withhold
         | judgement until they learn more about how different kinds of
         | "radiation" work. It's an overloaded term.
         | 
         | X-rays generated by slamming accelerated electrons into a metal
         | plate turn off immediately once power is removed. There is no
         | residual radioactive decay, because there were no unstable or
         | decaying isotopes at any point in the process. It's not a
         | nuclear process. It does not involve the nucleus.
         | 
         | In contrast, the Goiania accident was the result of beta
         | radiation from a pile of decaying Cesium 137 that could only be
         | contained, not turned off.
        
         | kumarvvr wrote:
         | X-Rays are not "radioactive technology", they are application
         | of high energy particle physics.
         | 
         | Please don't spread around misinformation.
         | 
         | Once the power is off, there is no more radiation from the
         | internals of an X-Ray Machine.
         | 
         | Heck, we have portable X-Ray dental cameras now.
         | 
         | They are still dangerous, but orders of magnitude lesser than
         | true radioactive elements.
        
       | kashunstva wrote:
       | I don't understand the connection between the cost of
       | hospitalization and a DIY 2d x-ray machine. Where exactly do you
       | go with that? The article states that he underwent an abdominal
       | CT, but of course that's not what he built. Probably a good
       | thing, too, as whatever radiation he's emitting would have been
       | substantially higher. I'm just confused about the motivation.
       | There are lots of costs embedded in procedure pricing - some
       | legitimate, some less so. Heaven forbid he goes into hospital and
       | has to have an MRI. I can't imagine the monstrosity that would
       | result from that DIY project.
        
         | dekhn wrote:
         | You are right to question the narrative. These days it's common
         | for news articles to play this kind of trick. There are just a
         | lot of hidden costs the DIY youtuber is ignoring.
        
           | deltaonefour wrote:
           | He's right to question the narrative but absolutely insane
           | not to question the 69k cost.
           | 
           | That xray is not worth 69k. It's a literal crime that the
           | hospital charges that much.
        
             | dekhn wrote:
             | have you run a major medical center? Acquired an x-ray
             | machine? Operated it (and paid the staff) for 10 years?
             | 
             | if you haven't done that, I'm not sure you have the
             | experience to say how much an x-ray should cost.
        
               | wbear wrote:
               | you're right about the hidden costs not mentioned in the
               | article. He stayed at the hospital for 2 days, consulted
               | with doctors, and received medication. this is why the
               | bill is so high.
               | 
               | however, an x-ray should cost around $200. there's no
               | need for an "expert" medical billing administrator here,
               | $200 is double or triple the price of an x-ray in many
               | european countries, and many facilities in america (where
               | the youtuber lives) will charge less than $1000.
        
               | deltaoneseven wrote:
               | I know dog shit isn't worth 69k and nobody needs to
               | acquire a dog shit maker, and operate a dog shit maker
               | nor pay for the staff making a dog shit maker to know
               | that dog shit isn't worth 69k. Basic common sense.
               | 
               | Maybe the above is a bad analogy. Put it this way.
               | 
               | I've been to hospitals outside of the US and paid for
               | x-ray services. That's how I know. That's how Everyone
               | knows ...
               | 
               | 69k a crime.
               | 
               | What I don't understand is why there exists someone
               | defending something so obvious. Are you an X-ray
               | operator?
        
         | lbriner wrote:
         | It just sounds to me like a good story to introduce the
         | project. I suppose he is kind of saying "how can they charge
         | this much when I can build one of these at home".
        
           | tsol wrote:
           | Yeah it seems like an excuse to do the project. X-rays aren't
           | all that expensive, usually under $100. Maybe with a reading
           | by a radiologist it can go into the hundreds
        
       | buescher wrote:
       | There's an irony in the breathless "built his very own x-ray
       | machine" slant - x-rays are literally Victorian technology. Not
       | for the reckless or uninitiated I suppose, but I remember books
       | showing how to make x-ray devices from the wrong vacuum tubes and
       | spark coils and such. Probably by Alfred Morgan but I can't find
       | the reference now. Don't try any of this today, only bad things
       | will happen, right?
       | 
       | To quote the more contemporary source below "Any person who
       | regularly works with any combination of high voltage and vacuum
       | should maintain a dosimetry program."
       | 
       | http://www.belljar.net/xray.htm
       | 
       | http://www.all-science-fair-projects.com/science_fair_projec...
        
         | Jeema101 wrote:
         | Yea exactly. Anyone with experience with electronics who is
         | willing to work with high voltage and has some knowledge of
         | vacuum tubes could probably make one.
         | 
         | Side note: old TV rectifier tubes from the 1950s and 60s were
         | notoriously known for being x ray emitters, and were often made
         | with leaded glass or kept inside shielded enclosures
         | specifically because of the X-rays. So X-ray emitters were
         | literally in everyday standard consumer electronics back then!
         | Kind of crazy to think about these days...
        
           | willis936 wrote:
           | And the TVs themselves were three particle accelerators
           | steered by magnetic coils slamming voltage rails of a few kV
           | 15,750 times a second. The beams emitted X-Ray
           | Bremsstrahlung. In everyone's home.
           | 
           | The last truly cool piece of physics in the house today is
           | the magnetron, which is pretty damn cool.
        
             | dekhn wrote:
             | My kitchen microwave kills any 2.4ghz wifi within 30 feet.
        
           | buescher wrote:
           | Exactly, indeed. One of the links I gave shows how to use a
           | 6BK4B rectifier tube for the purpose. No special X-ray tube
           | or glasswork required. Most of the high voltage parts can be
           | scavenged from old color tvs or monitors. Remember, though,
           | only bad things will happen and the inside of a color tv is
           | not a place of honor, no great deed is commemorated there,
           | nothing of value is stored there...
           | 
           | Edit: that might sound tongue-in-cheek but please take it as
           | hahah, only serious. You can hurt yourself with these things,
           | you probably don't have a good reason to be experimenting
           | with them, and if you do need to learn how to work with high
           | voltage or ionizing radiation safely, this is not the place
           | and I am not teaching you.
        
           | teeray wrote:
           | Makes you wonder if that's where the whole "don't sit too
           | close to the TV" thing came from
        
       | karmicthreat wrote:
       | Kreosan also did something similar and far less safely.
       | 
       | https://www.youtube.com/watch?v=shV2qoZShV0
        
       | Spivak wrote:
       | I pay cash for a lot of my medical care thanks to my HSA and this
       | is exorbitant but but not insane assuming it's about 2x thanks to
       | the insurance premium which you would never pay yourself. The
       | subject is sweeping under the rug the two nights in the hospital
       | which is for sure the bulk of the cost -- two days in the
       | hospital is expensive as hell. Lots of hospitals bill by the half
       | hour and an 8 hour overnight is about $10k when paying cash.
        
         | msandford wrote:
         | I can't figure out in what way $1000/hr is tethered to any kind
         | of reality. The bed and room don't cost that much. Nursing
         | doesn't come close. The doctors tend to bill you separately for
         | their services.
         | 
         | I get that isn't the game here. But most games are based on
         | some kind of reality. This one seems completely disconnected.
        
           | [deleted]
        
           | gaze wrote:
           | It isn't. It's totally and completely arbitrary. It's a
           | classic example of "priced what the market will bear."
        
           | yardie wrote:
           | Your $1000/hr bill is really covering 5 other indigent
           | hospital patients who can't financially cover the care the
           | hospital is legally required to give. Rather than design a
           | medical system that works for everyone no matter their
           | finances we'd rather stick it to the middle class (the rich
           | go to very different hospitals) since they have the most to
           | lose and are the weakest to negotiate.
           | 
           | Also, socialism.
        
             | qgin wrote:
             | The rich go to very different hospitals?
        
               | yardie wrote:
               | Yes, in my city there is a trauma 1, a few trauma 3s, and
               | multiple hospitals who have no ER at all. T1 is downtown,
               | surrounded by homeless encampments, and is perpetually
               | broke. By city charter T1 cannot file for bankruptcy
               | protection and cannot turn away anyone seeking emergency
               | treatment. T3 and outpatient hospitals are in rich
               | suburbs, no homeless camps, and the parking lot is full
               | of luxury cars. They also cannot do most emergency
               | services and will send you to T1.
               | 
               | The overnight stay in the T1 is $10k for a grimey room
               | while the T3s are closer to $3k-5k before insurance. I've
               | volunteered at both types and it is night and day
               | difference in the staff and the patients.
        
               | kevin_thibedeau wrote:
               | There's a Voyager episode about this.
        
             | fatnoah wrote:
             | My roommate's bill for my own 5 day, $24k hospital stay was
             | $0. My after-insurance cost was $2k, though I negotiated
             | that down to $800 that I was able to pay off over a year
             | (grad student on a stipend). Initially I was a little
             | bitter about my roommate getting a freebie due to lack of
             | insurance, but I eventually learned some compassion. In his
             | case, he was unemployed and couldn't work due to a back
             | injury.
             | 
             | So, we end up in this situation where those who have
             | insurance subsidize those who don't. Many people who are ok
             | with this are very much against an identical arrangement
             | where the government is involved.
        
           | greenonions wrote:
           | It's because it's the cash price. Medicare and Medicaid
           | reimbursements are significantly less, so in order to make
           | budgets make any sense, the bills that can be increased,
           | increase enough to cover all of the others.
           | 
           | Even employer sponsored insurance will get significant
           | discounts on that price.
        
           | dboreham wrote:
           | They're protecting us from socialism.
        
             | LanceH wrote:
             | Medical care is equally far from capitalism.
        
               | jandrese wrote:
               | Depends if you are going with the book definition of
               | capitalism or just "more money for rich people".
        
               | cfcosta wrote:
               | And that's why you don't get your term definitions from
               | people that don't understand it.
        
       | kumarvvr wrote:
       | https://www.youtube.com/watch?v=IiJAq53knwc
       | 
       | The link to the video.
        
       | cmckn wrote:
       | I can't get past the paywall on the article, but how exactly did
       | he get a bill for an X-ray that totaled $69,000? Much more
       | advanced diagnostics, like CT scans, MRI's, etc. cost a tenth of
       | this.
       | 
       | edit: quick google says a full-body X-ray should run you
       | somewhere around $1,100 without insurance:
       | https://health.costhelper.com/x-rays.html
        
         | db48x wrote:
         | Apparently it was an x-ray, a CT scan, some medication, and two
         | nights in a hospital bed. That's the real problem. Hospitals
         | are great if you have been in a car accident and could die at
         | any moment, but terrible for anything else.
         | 
         | In particular, hospitals in the US are well-known for lying
         | about their prices. You'll get a bill for some ridiculous
         | amount, and your insurance will negotiate it down to something
         | more reasonable. Of course they don't negotiate prices on a
         | case-by-case basis; instead the large insurance companies
         | negotiate "bulk discounts" ahead of time. It is unlikely that
         | his insurance paid more than $10k. Ironically he probably could
         | have paid even less if he had asked for the cash prices at the
         | hospital, and then gotten reimbursed by his insurance.
         | 
         | But even that is too much. If he had gone to his primary-care
         | physician or an urgent-care clinic he probably would have paid
         | a tenth of that or less, plus he could have slept in his own
         | bed.
        
       | emkoemko wrote:
       | why are hospitals charging money?
        
         | tinybrotosaurus wrote:
         | Because they provide a service?
        
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