I have found the Pilot Kakuno (about ¥1000, so inexpensive) - just IMO, - pilot ink is very easy flowing, the nibs are great for my writing style, pull off cap not screw, so much easier and readier to use, easy to clean.
I work in the UK health service which is not a good place for stationery lovers.
Presuming you visit this site often, doesn’t this indicate to you that their case is perhaps overstated? From what I understand, the activity they’re talking about on HN is just comments, often in a [dead]ed thread, so they’re things one can simply choose not to engage with.
HN is a relatively diverse community; for every example of a hate comment there are dozens of more constructive comments, including those calling out the hater. There’s no special protection given to trash commenters. They’re often banned, sometimes even publicly called out.
Related, these comments caused me to discover Kiwi Farms. If you want to see a place that sounds like what is described in marcan’s letter, check that place out. That is absolutely a trash forum for trash people. Blocking HN traffic isn’t going to protect them from that sort. Indeed, thick skin and the willingness to put down their phone will protect them from that sort.
"Example: My wife is in surgery, and has told me how surgical tools often come billed as a set. Rather than being able to bill for a single tool, if an operation requires another duplicate of the same tool the surgeon will often just open an entire new set."
That could be because the instrument required has been sterilised as part of a set and is not sterilised individually. This is a common problem in the UK where I work (as a surgeon), - the logistics of individually tracking all single packaged instruments would be unworkable and hugely costly.So they are grouped as a set for a particular operation.
Yeah I think that's why in the US as well, but I think it reflects a lack of sense of urgency for figuring out how to do it more cheaply. Compared to hospitals in Vietnam, for example, where sanitization standards are much lower, they do a lot more creative stuff to save on costs. It leads to worse outcomes, of course, but if they insisted on the highest quality care for everyone then a lot fewer people would get care in the first place
I am thankful haemoglobin can carry so much oxygen without the iron in it turning to rust. Otherwise we wouldnt be able to breathe.
Well described here,and i have no affiliation
https://wol.jw.org/en/wol/d/r1/lp-e/102010332