iiinova — where your digital self keeps evolving

Aaron Blackshear @aaronblackshear.bsky.social · 8h

Every year there’s a standard workout tee. The year they looked like this. This picture isn’t the best, but those were the best fitting and most comfy ones of any season. It was year before I started but I snagged a few leftovers

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Aaron Blackshear @aaronblackshear.bsky.social · 14/10/2026

Eventually she warmed up to me, but she was always Katie’s cat. She was obsessed with her and always sat on her lap, would sit in the middle of the couch for girls nights and they’d pour her a glass of wine (for show!)

Cat surfing the web on a laptop with blonde woman

Cat staring lovingly into the eyes of blonde woman

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Aaron Blackshear @aaronblackshear.bsky.social · 14/10/2026

The entire Superchunk discography is great, 35 years and not a single dud album, but this era is the best. Sanded off some of the rougher edges from the first two, but without too much polish, and some of their best/heaviest/noisiest guitars, with extended outro jams

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Aaron Blackshear @aaronblackshear.bsky.social · 14/10/2026

Paging Kevin Hassett's covid graph, and the Paypal mafia guy

@rabois
Keith Rabois
@rabois
with very large numbers of n’s you don’t need randomization.

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Aaron Blackshear @aaronblackshear.bsky.social · 12/10/2026

Defector is going to have some really good ones this year

YEAR IN REVIEW
What Did We Get Stuck In Our Rectums
Last Year?

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Aaron Blackshear @aaronblackshear.bsky.social · 08/10/2026

Ok but what if you read all the way to the bottom

If you're still a proponent of that doomed worldview, still aboard the sinking ship, I encourage you in the strongest possible terms to read yesterday's other great contribution to AI discourse, besides the OpenAl Mathocalypse dump: namely, Scott Alexander's open letter to Steven Pinker. I feel some responsibility for this, as the person who first introduced Steven Pinker to the existence of the rationalist community, and who also first introduced Steven Pinker and Scott Alexander to one another (they had both been fans of each other's writing). And now Scott is challenging Steve to a literal duel, with guns!
For whatever it's worth: Steve is a lifelong intellectual hero of mine, just as he is for Scott, and I also have to privilege of calling Steve my friend.

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Aaron Blackshear @aaronblackshear.bsky.social · 06/10/2026

This is a good summary of the problem, objective without putting all of the blame on payers or providers. The "risk adjustment specialists" and consultants are a problem, looking at you some of my actuary friends, billing $500+/hour to add a bunch of bloat to the system

What we can agree on

This entire enterprise — risk adjustment specialists spamming doctors, who are already nose-deep in documentation burden, to document diagnoses that often do not affect patient care, while insurers publish reports that fail to capture the nuance of the issue, leaving the public angry and confused — highlights a more general problem with respect to how the U.S. health care system works.

By design, hospitals and insurers are meant to compete with each other, with hospitals trying to collect as much money as they can for providing care, and insurers trying to pay as little as possible. Hospitals bolster their side by hiring risk adjustment specialists and employing AI tools, while health insurers hire payment integrity specialists and employ different AI tools.

Patients lose out because the administrative bloat inflates the cost of medical care, while making costs less transparent and harder to contest. Ultimately, the fix should be structural: At a minimum, we need to overhaul the list of secondary conditions that are eligible for bump coding. CMS attempted to do this in 2019, when it proposed downgrading or eliminating many bump codes based on new data showing they were not associated with increased costs. But hospitals pushed back, and the effort eventually stalled.

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Aaron Blackshear @aaronblackshear.bsky.social · 05/10/2026

Internet is still down so I’m watching the 2011 Super Bowl as one does

Young Aaron Rodgers in the 2011 Super Bowl

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Aaron Blackshear @aaronblackshear.bsky.social · 04/10/2026

There is exactly one good thing from 4chan and it is this, from the aftermath of 1/6

imagine spending the better part of the last 5 years having your brain and ego melted by uninterrupted
22 KB JPG
/pol/ exposure, flying to washington in the middle of a pandemic to hear
trump whine about oprah and mike pence at a rally, marching up to congress on his orders to smash shit and then mill around aimlessly
you go home and hear that biden won anyway and all of your favorite twitter news sources named like Patriot Newsman Of the West with avatars of roman statues have posted your photo online and are labeling you a "gay communist antifa actor." then the next day the god emperor you pasted into warhammer memes puts out a video cucking himself and bending the knee. "i'm sorry, those were heinous acts! p-please let me tweet again jack!!" you can't leave do because the airlines have dubbed you a flight risk. you can't stay because the cops are actively looking for you after one of their own died. your roommate at the only hotel that would accept you is a guy named based_kekistani1488 who wants to show you his goblin slayer torrents. the sun is going down and you're getting cold.

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Aaron Blackshear @aaronblackshear.bsky.social · 04/10/2026

Absolutely insane 3 song run. Please come back Foxing

Redwoods
Glass Coughs
Eiffel

from the Foxing album Dealer

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Aaron Blackshear @aaronblackshear.bsky.social · 02/10/2026

There was a community event at school and I met a set of parents whose son was on the soccer team we played last week. I said something about telling the team to take it down a notch when we went up big, and the mom said she loves seeing kids dominate, so tonight if it happens we’re winning 37-0

Cardale Jones
Following
@CJ12_
Man I wish everyone stop saying I beat a kid in the hospital 91-35.... It was 98-35, had 91 with 1:26 left in the 4th

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Aaron Blackshear @aaronblackshear.bsky.social · 02/10/2026

This pretty much always ends in violence, especially when he tries to take over and she forces her way back in, but not this time

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Aaron Blackshear @aaronblackshear.bsky.social · 01/10/2026

Nordhaus has a huge driveway drivers could pull in, wide and deep enough for multiple trucks, and maybe 3% of them do, it's infuriating. And they park directly in the bus stop on top of it

huge driveway on University for Nordhaus apartments

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Aaron Blackshear @aaronblackshear.bsky.social · 01/10/2026

Hell yeah LFG At this point I'm embracing it. No one is listening to each other, everyone immediately assumes the worst, but the broader ecosystem sucks and if it's going to be polarized/binary I'm fine over here I recognize some uses and know how things work. Have fun with Elon and Sam

some numbnuts putting me on an "AI Derangement Syndrome" list

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Aaron Blackshear @aaronblackshear.bsky.social · 30/09/2026

Remove it all you want you dipshit, making my point for me

re: "Why use Claude to help build a vinyl collection?"
Why use Google search to find books you might enjoy? Why find recs on Goodreads?
Why trust "You might also like" suggestions?
Just talk to a friend instead. Just go to the library and ask a librarian. Computer bad. 1/3

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Aaron Blackshear @aaronblackshear.bsky.social · 29/09/2026

His two little dipshits are like "man, he's gonna blame this on us"

Schmitt's two dingleberry aides looking like Kevin when he dropped the bowl of chili

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Aaron Blackshear @aaronblackshear.bsky.social · 29/09/2026

See, I want them to reply with just a picture of my avatar, so I get to see it

Kanye tweet: "i wish I could run across a beach into my own arms"

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Aaron Blackshear @aaronblackshear.bsky.social · 28/09/2026

This has zero quotes is dude removing every quote tweet? This is a posting website for posting man

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Aaron Blackshear @aaronblackshear.bsky.social · 27/09/2026

It was a beautiful day for a ballgame. Family got there half an hour before gates opened and still didn’t get to the front of the autograph line for kids day, he was super bummed

View from behind home plate in the club level at Target Field

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Aaron Blackshear @aaronblackshear.bsky.social · 27/09/2026

I should probably turn off the receiver, but how could I take this away from her? Her little sanctuary of warmth and cactuses, her little kitty oasis, her Sunday spa day

Tabby cat asleep on top of the receiver in a shelf next to a cart full of cactuses and succulents

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Aaron Blackshear @aaronblackshear.bsky.social · 27/09/2026

I'm not a fire marshal but I don't think this is a good idea

A candle burning directly under the hanging sweaters in the AI closet

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Aaron Blackshear @aaronblackshear.bsky.social · 27/09/2026

This AI-enhanced picture of the closet in this Zillow listing is amazing because they also show the unaltered picture

AI picture of the closet looking spacious and nice but also with 37 shirts in 3 colors

non-AI version with dirty walls and looking half the size

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