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reeredfdfdflast Tuesday at 7:08 AM3 repliesview on HN

"The only reason to reduce headcount is to remove people who already weren’t providing much value."

I wish corporations really acted this rationally.

At least where I live hospitals fired most secretaries and assistants to doctors a long time ago. The end result? High-paid doctors spending significant portion of their time on administrative and bureaucratic tasks that were previously handled by those secretaries, preventing them from seeing as many patients as they otherwise would. Cost savings may look good on spreadsheet, but really the overall efficiency of the system suffered.


Replies

ehntolast Tuesday at 8:39 AM

That's what I see when companies cut juniors as well. AI cannot replace a junior because a junior has full and complete agency, accountability, and purpose. They retain learning and become a sharper bespoke resource for the business as time goes on. The PM tells them what to do and I give them guidance.

If you take away the juniors, you are now asking your seniors to do that work instead which is more expensive and wasteful. The PM cannot tell the AI junior what to do for they don't know how. Then you say, hey we also want you to babysit the LLM to increase productivity, well I can't leave a task with the LLM and come back to it tomorrow. Now I am wasting two types of time.

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kylinhackerlast Tuesday at 7:21 AM

I'm a full-stack developer, Recently i find that almost 90% of my work deadlines have been brought forward, and the bosses' scheduling has become stricter. the coworker who is particularly good at pair programming with AI prefers to reduce his/her scheduling(kind of unconsciously)。Work is sudden,but salary remains steady。what a bummer

listenallyalllast Tuesday at 9:26 AM

But wouldnt these spreadsheets be tracking something like total revenue? If a doctor is spending time on admin tasks instead of revenue-generating procedures, obviously the hospital has accountants and analysts who will notice this, yes?

I'll contrast your experience with a well-run (from a profitability standpoint) dentist's office, they have tons of assistants and hygienists and the dentist just goes from room-to-room performing high-dollar procedures, and very little "patient care." If small dentist offices have this all figured out it seems a little strange that a massive hospital does not.

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