[HN Gopher] GNU Health
___________________________________________________________________
GNU Health
Author : smartmic
Score : 302 points
Date : 2025-10-11 15:47 UTC (7 hours ago)
(HTM) web link (www.gnuhealth.org)
(TXT) w3m dump (www.gnuhealth.org)
| leakycap wrote:
| Heath centers pay unreal amounts of money for these kinds of
| commercial products, _but_ in my experience the health centers
| themselves have very few technical resources. So the real
| "value" being delivered by the commercial software providers is
| often the setup, support, and hand-holding provided to customers
| who pay the crazy amounts.
|
| I imagine there will be a niche but high-paid market integrating
| these GNUHealth products with existing commercial systems, and
| ongoing opportunities in supporting health centers using the
| software with planning, upgrades, and lots of phone & email
| support.
| gjsman-1000 wrote:
| The problem open-source, and social media, and everything
| digital, has never overcome is _accountability_. Who do I sue,
| and who has insurance, if something goes wrong?
|
| Combine that with most small businesses having more money than
| time (just pay Gmail, don't spend the required amount of time
| to self host), and open-source is stuck at being hobbyists if
| there is no corporate sponsorship.
| leakycap wrote:
| > _just pay Gmail, don't spend the required amount of time to
| self host_
|
| Are you seriously suggesting a business put their contacts in
| the hands of Google, who has reportedly been totally
| capricious with account actions in the past and is
| notoriously difficult to contact when problems arise?
|
| > _and open-source is stuck at being hobbyists if there is no
| corporate sponsorship_
|
| Corpo sponsorship required for success? I guess I better tell
| all the open-source projects being used by millions that
| they're just hobbyists now.
|
| > _The problem [...] everything digital [...] Who do I sue,
| and who has insurance, if something goes wrong?_
|
| I have heard of analog world nostalgia, but you refer to the
| pre-digital age as if you didn't live through it. It's easier
| to locate someone today than ever before.
| throw-the-towel wrote:
| Can you name one open-source project "used by millions"
| that does not have corporate sponsorship?
| headsman771 wrote:
| This implies corporate sponsorship is a requirement for,
| as opposed to result of, a projects usefulness. That has
| not been the case for most valuable open source software.
| tomrod wrote:
| Who sponsors curl?
| smj-edison wrote:
| OBS and Audacity (until recently) are two off the top of
| my head. Plus a lot of Linux components are run solely by
| a couple people, and those are run my millions of
| programmers.
| sokoloff wrote:
| GNU? Depending on how you want to treat FSF and PSF, gcc,
| emacs, python (are FSF/PSF/Apache corporations? Does
| PSF's donations from corporations make python corporate
| sponsored?)
| leakycap wrote:
| Never heard of Monero?
|
| Keepass only allows donations, with no benefits for
| corporate vs. personal sponsors
|
| GIMP is one of the most widely known & its sponsors only
| lists a few companies as hardware donors
|
| VLC anyone?
| scott_w wrote:
| The person implementing the system for the hospital is
| accountable. I don't see why this is difficult because it
| would be the same if that person built their own product from
| scratch.
|
| There's no vendor here that they can sue if they were paying
| for a product and deploying that, but that's a different
| situation and the hospital, frankly, won't care about that.
| Who their supplier subsequently sues isn't their problem.
| athenot wrote:
| You're being downvoted but yes, this is about risk
| mitigation. The IT department at a health care organization
| has to balance matching the requirements of payers, admins
| and clinical staff, do so in a way that fits inside the
| allocated budget, and de-risk the unknowns as much as
| possible.
|
| Even if the vendors are only half accurate about the solution
| they offer, by being paid suppliers, they are on the hook (to
| varying degrees). These systems are highly customized and
| serious headaches arise from interoperability and security.
| If some of that can be shifted to a vendor, it's a net
| positive _insofar as the IT department and the compliance
| departments are concerned_.
|
| Some healthcare organization have invested in the technology
| side and become leaders in innovation but those are the
| exception.
| rectang wrote:
| > _The problem open-source [...] has never overcome is
| accountability_.
|
| There are lots of organizations that provide a throat-to-
| choke-as-a-service, e.g. Red Hat.
| dismalaf wrote:
| This isn't a problem with open source. For many of us with
| startups that have low stakes (worst we can do is have no
| users) a lack of support is fine, we can do it ourselves and
| save the money.
|
| And there's plenty of consultancies which will support OSS
| and give you support if you need it and be your scapegoat.
| Red Hat, Suse, IBM come to mind and there's many others...
| jancsika wrote:
| > Who do I sue, and who has insurance, if something goes
| wrong?
|
| You sue the Red Hat-like support company with whom you
| ostensibly signed a contract.
|
| If your question is who does the Red Hat-like support company
| sue if they want accountability for the code they are
| leveraging, I guess I don't understand the question or its
| relevance. E.g., with regard to proprietary code, who does
| Microsoft microsoft when Microsoft microsofts Microsoft? (Fun
| to write, but I don't think that sentence really makes
| sense.)
| jll29 wrote:
| I'd say if you take software that doesn't cost you anything,
| either
|
| (1) you carry the risk or
|
| (2) find someone that operates the software for you (on
| premise or SaaS) and they may also carry the risk for the
| premium you pay them.
| crote wrote:
| Do you think a small mom-and-pop dentist can win a lawsuit
| against _Google_?
|
| There's absolutely no way that dentist will have a well-
| negotiated contract with SLA's and damage compensation with
| Google. The extent of their business relationship is that the
| dentist clicked a checkbox and put in their credit card
| details. Google does not even know they exist.
|
| If Gmail loses all your email and accidentally kills your
| entire business, the _absolute best_ outcome is a refund of
| your $10 /month business subscription fee. The idea that they
| could in any way be held responsible is ludicrous.
| throwaway173738 wrote:
| You sue the developers. It's how it works in general. So
| basically you'd comb the commit history for the project and
| name everyone in the lawsuit that you could.
| nradov wrote:
| It's possible that some FOSS developers have been hit with
| nuisance lawsuits but in general they have no contractual
| relationship with the users and thus no liability under US
| law.
| pstuart wrote:
| Seems like a wonderful win/win opportunity to have the software
| be FOSS but enable small businesses to provide
| hosting/support/customization.
|
| The biggest win of all is if we had an
| open/extensible/maintainable data exchange format so that we
| could eliminate the need for paperwork. How many times must we
| fill out the same information, and then require the providers
| to keyboard it in?
| anjel wrote:
| Wasn't that in fact apropriated, launched and funded in the
| US under the Obama administration?
| pstuart wrote:
| I recall various tech/data initiatives during that admin
| and my search came up with this:
| https://www.cms.gov/newsroom/press-releases/hhs-announces-
| ne...
|
| I don't work in healthcare but I do use their services and
| every intake interaction is the same paperwork dance, so it
| doesn't seem to have impacted providers themselves.
|
| There's another element that needs address as well, which
| is the controlled dissemination of one's medical history.
| It should be easy peasy technology wise, with the only
| blockers being political/entrenched players sabotaging it.
| nradov wrote:
| You are perhaps thinking of the HITECH Act of 2009? The
| Obama administration didn't directly fund any open-source
| healthcare software. There were billions in federal grant
| funding available to provider organizations to purchase EHR
| software that met certification criteria for a certain
| level of interoperability and clinical functionality. This
| really accelerated the growth of commercial EHR vendors
| like Epic, as well as some smaller vendors that used FOSS
| within their offerings.
|
| https://www.hipaajournal.com/hitech-act-meaningful-use/
| nradov wrote:
| There are in fact multiple data exchange formats published by
| standards development organizations including HL7 (V2
| Messaging, CDA, FHIR), DirectTrust, NCPDP, DICOM, and X12.
| Some such as HL7 and DirectTrust are very open, others may
| require a paid licensing agreement. Usage of some of those
| standards is mandated by CMS interoperability regulations
| and/or ASTP (ONC) Health IT Certification requirements.
|
| Beyond the wire formats, in order to eliminate the need for
| paperwork provider organizations also have to participate in
| data exchange networks. These include TEFCA, Carequality,
| eHealth Exchange, and some smaller regional HIEs. It all
| works fairly well when used correctly but many provider
| organizations continue to waste administrative effort and
| abuse their patients by failing to take advantage of the
| available technology. Like in many cases the necessary
| functionality is already built in to their EHR/PMS software
| but they simply don't turn it on or train their users.
| ranger_danger wrote:
| https://xkcd.com/927
| Angostura wrote:
| I could certainly imagine NHS England looking at this and
| creating something that hospitals and GPs could deploy
| nickdothutton wrote:
| Sadly, very sadly, I cannot imagine it. I have seen the
| inside of NHS IT.
| marcusb wrote:
| In the US, the Veteran's Administration wrote their own EHR
| (Vista) which was released as public domain. They've been
| trying (and mostly failing) to migrate to a commercial EHR
| for the last seven or eight years.
| nradov wrote:
| VistA has some great functionality and end users generally
| like it, but unfortunately the underlying platform and
| developer tooling is hopelessly outdated. It's approaching
| a technical dead end and there's no practical way to keep
| it moving forward unless someone steps forward with the
| funding and resources for a major refactoring / rewrite
| engineering effort.
|
| https://worldvista.org/
| cyberax wrote:
| Vista is ancient, and it's written in MUMPS, an evil twin
| of COBOL.
| mattkrause wrote:
| For context, many (most?) other EHRs are too, though they
| call it M now so it sounds less disease-ridden.
| vincent-manis wrote:
| No, MUMPS (or M) is a remote descendant of JOSS, an
| interactive language of the 1950s. JOSS has all sorts of
| variants (DEC's FOCAL language of the 1960s was a
| dialect), but I think MUMPS is the only living one. MUMPS
| code is mostly unreadable, as the commands can be, and
| often are, abbreviated to the first letter. As a result,
| it looks a lot like line noise.
|
| Regardless of its many warts, Cobol cannot be accused of
| being unreadable. Verbose, yes.
| nradov wrote:
| MUMPS was originally developed in the 1960s for use on
| minicomputers that had maybe 64KB RAM. At the time it was
| a lot more important to keep code size small, hence the
| single letter commands. Readability wasn't a concern then
| but it sure looks like a mess today.
| cyberax wrote:
| > Regardless of its many warts, Cobol cannot be accused
| of being unreadable. Verbose, yes.
|
| Hence the "evil twin" comment :)
| jjmarr wrote:
| I'd love it if my government created a civil reserve for
| technology workers. Let me volunteer every weekend to help
| fix infrastructure so I don't have to give up my existing
| job.
| jonhohle wrote:
| If it was a volunteer effort without ulterior motives, it
| would be beneficial to society, but ultimately who is on
| call? Who pushes for hard, but beneficial changes that
| might not have immediate obvious value? Who accepts risk or
| responsibility.
|
| Ultimately that's the point of the market. Incentivize
| people to take risks for rewards. Allow others to improve
| on proven models for lower costs. Unfortunately, government
| does not have any risk/reward or other market pressures.
| newsclues wrote:
| A good primer from Acquired
| https://www.acquired.fm/episodes/epic-systems-mychart
| doctorpangloss wrote:
| No... hospitals use EHR to maximize billing. That is the value.
|
| Private practices are generally shrinking in number, so there
| IS NO EHR that is growing in the long term to serve them, so
| there CANNOT BE a trend where hospitals are exceptional, their
| IT buying trends are the NORM and their purpose is to code for
| billing. It is NOT about having or not having IT resources
| strictly speaking.
| leakycap wrote:
| Typing in ALL CAPS does not make your argument stronger, this
| isn't Truth Social.
|
| > hospitals use EHR to maximize billing
|
| As a person who has worked extensively with hospitals and
| CHCs helping them integrate technology, this is false.
|
| EHR is being used because it's required - both by payors and
| regulation/law. I can think of zero instances where an
| organization switched to EHR without being forced by a
| deadline from an outside source.
| epcoa wrote:
| I dunno, QuadraMed that was used by at least NYC H&H for
| years before their imperiled transition to Epic prominently
| displayed "Revenue Cycle Management" on the splash screen
| of its decrepit _provider_ facing frontend.
|
| Both of you are overstating your cases. That said, it's
| hard to overstate how heavily charge capture and billing
| are prioritized to the detriment of other aspects.
|
| > I can think of zero instances where an organization
| switched to EHR without being forced by a deadline from an
| outside source.
|
| There were major EHR deployments in the 80s through early
| 00s, before most government mandates. Surely later mandates
| were an incentive This reflects a lack of tenure.
| leakycap wrote:
| > There were major EHR deployments in the 80s through
| early 00s, before most government mandates.
|
| Examples?
| bonsai_spool wrote:
| > EHR is being used because it's required - both by payors
| and regulation/law. I can think of zero instances where an
| organization switched to EHR without being forced by a
| deadline from an outside source.
|
| Your argument fails in cases where hospitals switch from
| bespoke EHRs to use one large EHR that has better revenue
| features. This is quite trivially discovered if one follows
| the news of large hospital chains who have moved to Epic
| recently.
| nradov wrote:
| Revenue cycle issues are important but not the only
| factor. It's simply no longer economically feasible for
| provider organizations to maintain bespoke EHRs. The
| costs have gone up too much. They can't afford to pay
| developers to build and maintain all of the functionality
| now required due to federal interoperability rules
| compliance and escalating user expectations.
| leakycap wrote:
| > They can't afford to pay developers to build and
| maintain all of the functionality now required due to
| federal interoperability rules
|
| Yep, and more and more payors - government and private -
| are demanding systems that are both interoperable and
| audiable
|
| Internal, bespoke systems are notoriously nightmarish for
| auditing
| leakycap wrote:
| > This is quite trivially discovered if one follows the
| news of large hospital chains who have moved to Epic
| recently.
|
| Epic is one of the few providers who can meet a larger
| organization's overall needs
|
| The competitors, like eClinicalWorks, are a shadow in
| comparison
|
| No doubt companies increase revenue with more efficient
| capture of services, costs, labor factors, etc, but I've
| actually been in the room with people from Epic and have
| heard the sales presentation. I'm betting I have a decent
| grasp on both what they're selling and what the buyers
| are asking for.
| ranger_danger wrote:
| From what I have seen, the only people seriously using systems
| like these are in emerging markets or developing countries.
| bjoli wrote:
| I wonder what would happen if EU harmonized the legislation so
| that the EU states could go together and develop an OSS
| journaling system. The amount of money saved would be
| astronomical.
| ivanjermakov wrote:
| Spending money is what drives the economy. No diverse
| expensive healthcare software means thousands of employees
| don't get paid and don't spend earned money within the
| economy.
| IsTom wrote:
| That's broken window fallacy.
| HiPhish wrote:
| When a measure becomes a target, it ceases to be a good
| measure. Goodhart's law.
| mcny wrote:
| Here is the link I was looking for. Took me about three clicks to
| get there so wanted to save you guys the trouble
|
| https://codeberg.org/gnuhealth
| gigatexal wrote:
| crazy to think that with this you could run the better part of a
| hospital with...
| jll29 wrote:
| ..but then again there is open source ERP, too!
| kristopherleads wrote:
| That federation piece is super interesting. I'm actually giving a
| talk in Sweden this week about machine learning/AI training in
| the age of data sovereignty, and my suggestion was two-fold -
| better and more widespread adoption of things like Homomorphic
| Encryption and more federated systems that can distribute access
| and data in sovereign systems. This is a pretty important
| evolution in that direction!
| reedciccio wrote:
| I'm extremely interested in this topic. Would you be able to
| share your presentation?
| einpoklum wrote:
| I can't quite understand what is actually part of GNU Health:
|
| > _Social Medicine and Public Health_
|
| > _Bioinformatics and Medical Genetics_
|
| Are these that a piece of software? scopes? Intents?
|
| > _Hospital Management (HMIS)_
|
| Ok, now this is software for sure, but what exactly does this
| mean? There are many things to manage within a hospital. Is this
| software for managing inventories? Scheduling? Personnel
| assignments and organizational relations? Patient flow records?
| And - is most of this stuff really specific to hospitals? e.g.
| how is this different from managing, say, a hotel?
|
| > _Laboratory Management (Occhiolino)_
|
| Again not so clear what kind of management we're talking about.
|
| > _Personal Health Record (MyGNUHealth)_
|
| Ok, this I (think I) understand.
|
| > _GNU Health embedded on Single Board devices_
|
| What exactly needs to get embedded? And - what kind of device? It
| could be a Raspberry Pi, that's a single-board device, right? So,
| just another general-purpose computer, but on ARM-based silicon.
| Or - it could be an, I don't know, some kind of scanner, like a
| portable UltraSound.
|
| Bottom line: I'm sure it's a collection of useful software but
| very difficult to figure out exactly what, and how it's specific
| to healthcare.
| dmd wrote:
| I work in healthcare IT and all of these have very specific
| meanings, and it's very clear to the intended audience what
| these all are.
| Ensorceled wrote:
| The terms are also clarified later on that same home page ...
| dm319 wrote:
| > Laboratory Management (Occhiolino)
|
| Laboratory Management Systems, or LMS, is laboratory software
| which handles laboratory orders, retrieving results from the
| laboratory equipment and sending back the results to the
| electronic patient record (EPR). It does a lot more than that
| of course, but basically it's a big database handling thousands
| of blood tests, biopsies, tissue samples, as well as worklists
| for staff, in order to get diagnostics results back to the
| clinicians.
| trenchpilgrim wrote:
| All of these terms are well understood if you work in a
| hospital. Even a technician could probably guess at the ones
| they don't work with directly.
| cseleborg wrote:
| > The easiest way to get MyGNUHealth is by installing the package
| from your favorite operating system / distribution. Many
| operating system distributions already ship MyGNUHealth.
|
| I was actually curious to try this out on my phone, since they
| claim to support mobile devices.
|
| If running a command-line package manager is the easiest way to
| install this on Android, I don't want to know what harder ways
| exist.
|
| I find this is quite typical for open source projects. The
| community still hasn't really, truly adopted mobile. I guess it's
| because of the need to have some sort of entity be present in the
| various App Stores? But if it's possible for servers, why is this
| so rare to have open source projects as app store vendors?
| holri wrote:
| This is meant to be used in hospitals. Where I live no hospital
| personal uses phones to manage healthcare data. They have PCs.
| roxolotl wrote:
| MyGNU Health looks to be along the lines of Apple Health and
| is intended to be used by consumers to monitor vitals and
| track statistics.
| jll29 wrote:
| It makes sense to own your own medical data rather than
| handing it over to big tech/FAANG.
| nradov wrote:
| You seem to be living in the past. While EHRs are still
| primarily used from desktop PCs, all of the major ones have
| native mobile apps now. Clinicians appreciate being able to
| review patient charts and action alerts while away from a PC
| cart.
| tomrod wrote:
| Better to make it a web app, so you don't have to mess with
| Apple or Google's broken economics.
| nradov wrote:
| You're really missing the point. The EHR vendors aren't
| charging customers for those apps through the Apple or
| Google app stores so "broken economics" are irrelevant.
| The app stores are only a distribution mechanism and work
| fine for that.
| BeetleB wrote:
| > I guess it's because of the need to have some sort of entity
| be present in the various App Stores?
|
| This, and the fees, and dealing with weird App stores' rules.
| On Android, we had F-Droid - an alternative store where one
| didn't need to deal with this. And as has been reported
| recently, Google is making changes that will essentially kill
| F-Droid.
|
| The reason there's not much good open source stuff on phones
| compared to PCs is because the hardware is hostile to it. The
| few phones out there that aren't are the ones almost no one
| uses.
| zkmon wrote:
| Nice to see support for Open source. I have seen selling of
| healthcare data, including medicare and medicaid data to private
| companies which sliced and diced it and sold to academic and drug
| research institutions via data marts. ETL jobs would run for
| months. The data included prescriptions, scans, visits, employee
| plans etc, for about ~200 millions of American patients. It is
| anonymized data, but still I always wondered why this was
| allowed.
| nradov wrote:
| HHS publishes clear guidelines for de-identifying healthcare
| data (PHI). Once it has been properly de-identified
| (anonymized) it is no longer subject to any special controls. I
| am aware that some researchers have claimed that it could be
| theoretically possible to re-identify certain records but so
| far no one has been able to do so in practice so concerns seem
| to be overblown.
|
| https://www.hhs.gov/hipaa/for-professionals/special-topics/d...
|
| As for Medicare, only a very limited set of data is publicly
| available. Larger sets are available to certain contractors and
| researchers but the access agreements prohibit sale to third
| parties. So you must have misinterpreted the content or source
| of the data you saw.
|
| https://www.cms.gov/data-research/cms-data/types-data-files
| zkmon wrote:
| https://ghdx.healthdata.org/record/united-states-
| marketscan-...
|
| It shows some medicare data as owned by a private company.
| nradov wrote:
| That doesn't look like Medicare data. It comes from
| Medicare Supplement health plans offered by commercial
| payers (not a government program).
| unleaded wrote:
| There was a guy on reddit a few years ago who started a dental
| practice with entirely open-source software and his own EHR
| system. Really interesting stuff, don't think anyone's posted
| about it here. Can't view his reddit history but he must still be
| using it, last commit 1 week ago.
|
| https://www.reddit.com/r/linux/comments/p5phju/progress_repo...
|
| https://www.reddit.com/r/linux/comments/x2mls1/update_starti...
| omnibrain wrote:
| > Can't view his reddit history as I'm in the UK
|
| What does this mean?
| unleaded wrote:
| It's tagged as NSFW for some reason and I can't be bothered
| verifying my age
| Imustaskforhelp wrote:
| just change from www.reddit.com to old.reddit.com and then
| it doesn't ask you to sign up.
|
| Does this work in the UK or do they still ask you to
| verify?
| coffeeaddict1 wrote:
| No, but just put something like rl.bloat.cat instead of
| reddit.com. That'll direct to an alternative community
| maintained interface for Reddit that will work.
| Imustaskforhelp wrote:
| I know that alternative frontends for reddit were a huge
| thing which I used to use before the api fiasco
|
| There are still some alternatives but most of them now
| scrape or have extreme rate limiting from what I know.
|
| They use redlib but If I remember correctly that's
| similar to libreddit but patched to work without api but
| still, its a very finnicky solution.
|
| Like these solutions can work but I think at that point,
| just use a VPN but oh boy reddit detects those VPN's from
| what I know.
|
| WOW UK censorship law is really something huh, can people
| living in the UK somehow vote to repeal that or
| something?
|
| I was thinking on the scary part of as to what if many
| countries can seemingly connect together these pieces to
| genuinely have internet authoritarianism and what if they
| have such eggregious fees or just even a threat of it,
| have a little mixture of getting sanctioned if you try to
| move around it but damn, this is so weird, if they really
| want, they can genuinely escalate this more and more to
| block VPN's and more and more to effectively soft-lock a
| person from the internet. This needs to stop. Right now.
| Otherwise I am scared if what if multiple countries come
| together to stop something like tor nodes by somehow
| putting them in such a law. Once tor stops, all hell can
| break loose on the internet, its _certainly_ _possible_ ,
| I never expected this but the only thing stopping UK
| censorship might be hopefully their incompetence of maybe
| not removing VPN's or this goose chase or just the fact
| that this is the beginning, not the end. They are testing
| how much they can get away with which is increasing a
| lot... This really made me pessimistic actually.
|
| The only hope is that such websites can spring up more
| quickly than UK can take them down but what if UK sets a
| dangerous precedent by suing them, its definitely
| possible to track them down by the UK govt.
|
| They say on their blog that
| https://bloat.cat/blog/updates-may-25/ that Redlib is the
| most resource-hungry service. The traffic figures run
| into terabytes a month
|
| Some % of these could be for bypassing the UK as well
|
| though I suppose that not even govt. can catch them,their
| Opsec is genuinely really good, they use monero for the
| servers and etc., its fascinating to see their Opsec be
| so secure.
|
| Edit: I got so curious and found out that they run some
| servers on senko.digital which is in fact UK based but
| they won't still get much (I hope) because senko.digital
| supports monero so their opsec is secure but if they had
| slipped up, it wouldn't have been hard to see them being
| framed as they get terabytes of data and some % of data
| can help loop around UK censorship evil laws and they
| could've tried to frame him and senko being a UK company,
| it isn't hard to follow that they would've complied. But
| they use monero and I am sure that they use a vpn as well
| but it was certainly fun reading their Opsec and I think
| that its sort of perfect, I need to learn more from it
| actually.
|
| So I guess its still possible to run websites without
| incurring the hefty fine in UK but its certainly very
| hard / borderline impossible and I just hope that this UK
| thing / similar things in other countries doesn't get any
| further and gets banned/repealed otherwise the internet
| might die.
|
| Edit 2: maybe I gave them too much credit since either
| its saying Reddit is blocking redlib as always... when I
| try to click on any username or it just gives a flat out
| nginx 502 bad error... I really gave them too much credit
| but it was fun learning something about opsec.
| eterm wrote:
| It means you can't view people's reddit profiles in the UK.
|
| ( Yes, seriously. )
|
| Many many profiles are tagged NSFW, its' not clear why, I
| can't imagine the majority of those have done so
| deliberately, perhaps it's automatic for anyone who's posted
| any NSFW posts ever. ( Which includes people doing so to be
| funny such as someone posting a huge loss in a sports sub as
| NSFW. )
| Imustaskforhelp wrote:
| As I said it on the OP's comment but I will type it here as
| well, sorry if it counts as spam but
|
| just change from www.reddit.com to old.reddit.com and then
| it doesn't ask you to sign up. (atleast this works in my
| country)
|
| Does this work in the UK or do they still ask you to
| verify?
| gjm11 wrote:
| It does not work for me in the UK.
| perching_aix wrote:
| Recently Reddit also made it possible to private your post
| and comment history, which I found a surprising number of
| people already do too (default for new accounts maybe?), so
| this is about to become a very worldwide experience anyhow
| :)
| kaladin-jasnah wrote:
| I've been seeing a lot of profiles have their post
| history invisible, and thought it was a bug. I tried to
| search for whether or not this was possible and couldn't
| find it. I'm elated to hear that this is a thing, as it
| protects my privacy. Just enabled it (:
|
| Only thing, shame you can only set these things in new
| Reddit.
| perching_aix wrote:
| I'm fairly mixed about it, personally.
|
| Being able to inspect post and comment history allowed
| for finding people who are absentmindedly lying, or are
| otherwise intentionally and persistently abusive. I
| believe this was the whole original motivation about such
| a history being available, even.
|
| On the flipside, it does lessen the potency of various
| avenues of abuse. Some people would get harassed and
| stalked thanks to this history feature for example, and
| it trivialized targeted information extraction too. It
| also allowed for petty censorship, i.e. some subs would
| auto-ban people who commented in various other subs.
|
| One might also criticize it for being a minor bandaid
| over a gaping hole. Your username and user avatar you
| still carry across subs and are not autogenerated. This
| means that with sufficiently wide scraping, your posts
| are still perfectly correlatable, collectable, and
| subscribeable. Within subs, the same applies to your user
| flair. This has benefits, i.e. it allows you to block
| users who you identify as inherently malicious, but it
| also means that all the aforementioned benefits apply
| only in limited ways.
|
| Trust requires the sharing of information, privacy
| requires the obfuscation of information - and so I think
| these concerns run contrary to each other, resulting in
| the many solutions of the world not committing fully to
| either, as they are extreme and unrealistic positions in
| isolation. Difficult world.
| Imustaskforhelp wrote:
| Hm they had an AMA recently going on, so I asked them some
| questions if they are still using it or what not (on reddit)
| mentioning this HN comment.
|
| https://old.reddit.com/r/Dentistry/comments/1o3hawd/prison_d...
|
| Surprisingly it had 100 comments but no open source questions
| iirc so that was a bit of surprise from what I could check.
|
| Also Offtopic or not but its sad that you can't use reddit
| because you are in UK but just for the sake since I want you to
| see the comment, I perma-linked it and uploaded it to wayback-
| machine/archive.org and here's the link so that you can view
| what I wrote
|
| I am going to archive the whole reddit page later for you to
| read as well
|
| https://web.archive.org/web/20251011181833/https://old.reddi...
|
| Wait why is this not working wtf, Dentistry: page not found for
| archive wtf?
|
| Edit: I archived the whole page as I said, here it is.
|
| https://web.archive.org/web/20251011182126/https://old.reddi...
|
| Hope this helps OP and maybe I will keep the archive updated
| for few days or give ya updates if that's something you are
| interested in I suppose I am not sure, just like many other
| things in my life.
| rancar2 wrote:
| That's from the founder of Clear.dental, Dr. Tej Shah:
|
| https://clear.dental/
|
| https://gitlab.com/cleardental
|
| https://www.linkedin.com/in/tej-shah-17829195
| nja wrote:
| And the 2.0 source:
| https://invent.kde.org/desiotaku/cleardental
| IshKebab wrote:
| No offence but GNU is not an organisation I would associate with
| health, usability and practical software. Noble effort no doubt.
| Misguided perhaps.
| righthand wrote:
| No offence but IshKebab is not a person I would associate with
| someone who knows anything about health, useable and practical
| software. No matter how noble their intentions are about
| criticizing software they've never used nor never attempt to
| use because of unfounded stigmas. Misguided indeed.
|
| Automake, bash, emacs, gnucash, gnuhealth, coreutils, gnupg,
| gimp, grep, make, etc. are all great pieces of GNU software.
| Don't take my word for it, here is a list of all the too-many-
| to-name gnu software used out in the world extensively:
|
| https://www.gnu.org/manual/blurbs.html
| phkahler wrote:
| Text is too dark for my old eyes.
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