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Disruptive Bloodwork Startup May Offer Mostly Vaporware

dmr001 writes: As seen previously, Palo Alto startup Theranos planned to put the power of affordable lab work directly in the hands of patients with tiny fingerprick samples taken at Walgreen's, with four hour turnaround. The company claimed their tests were "made possible by advances in the field of microfluidics." But they were cagey about methodology and didn't use FDA approved analyzers.

Now, the Wall Street Journal reports (paywalled) (among others) that all but one of Theranos' analyzers currently in use is off the shelf, and that their tiny samples may not always have been accurate. Typically cagey founder Elizabeth Holmes vigorously disputes the criticism of her $9 billion startup, but entrenched players like Quest Diagnostics and LabCorp (which do quite well charging orders of magnitude above Theranos' prices) are likely doing a happy dance.

Physicians worrying about patients bringing in their own carcinoembryonic antigen levels and Epstein Barr Virus panels to confirm their Internet diagnoses of cancer and chronic fatigue may also be breathing sighs of relief, albeit with bittersweet regret at the potential loss of the price advantage and milliliter samples.

44 of 174 comments (clear)

  1. Argle Bargle Morble Whoosh? by ColdWetDog · · Score: 4, Insightful

    that all but one of Theranos' analyzers currently in use is off the shelf,

    What. Wait.... Is it supposed to be on the shelf? Is there something missing?

    TFA in Business Insider just complained about the membership of the Board of Directors (which is weird).

    And finally, ** 10 billion dollars ** for a startup that does essentially the same thing as everybody else but maybe undercuts price and probably violates the law in 45 states?

    I'm in the wrong business.

    --
    Faster! Faster! Faster would be better!
    1. Re:Argle Bargle Morble Whoosh? by dmr001 · · Score: 4, Informative

      Theranos' "Edison" analyzer is purported to allow accurate, cheap testing with tiny sample sizes. They haven't revealed a lot about how it works. This is in contrast to standard analyzers which cost more (well, they charge more), need your typical 10 ml Vacutainer sample, and have lengthy turnaround times. It turns out Theranos has recently been using standard, commercially-available analyzers for most of its tests, and had to dilute its samples to do so, apparently compromising accuracy.

      As the OP, I'm hopeful Theranos now can pull up out of this apparent nosedive, and publish controlled analyses in larger, controlled trials in a peer-reviewed journal. Then the real miracle will be integrating their results with everyone's frickin' EMR.

    2. Re:Argle Bargle Morble Whoosh? by ColdWetDog · · Score: 4, Insightful

      Ten billion dollars based on a system that has been purposely obfuscated?
      I am definitely in the wrong business.

      Most of the commercial analyzers only need a couple of hundred microliters. They get 5 cc or so out of the patient because it's easy, rarely is problematic (except in tiny infants when the only draw a cc or so) and allows for repeats and storage (the Illuminati needs to get its samples from somewhere. And they really only take a few minutes to run. The big time waster is paperwork, spinning the sample to get rid of red and white blood cells and batching the samples to lower cost.

      Fingerstick samples (Capillary blood) are somewhat problematic in that the normal values aren't necessarily the same as in serum samples. But that can be controlled for.

      Ten billion dollars?

      I quit....

      --
      Faster! Faster! Faster would be better!
    3. Re:Argle Bargle Morble Whoosh? by Trepidity · · Score: 4, Insightful

      The company really seems, from the outside, to be in one of those self-powering ascents at the moment. They got some money, with which they got influential people on board, with which they got more money, etc. And it definitely helps that they signed on Walgreens as a customer, too, which makes it look like it has a real business, not entirely vaporware.

      The board is really absurdly packed with political heavyweights though, to the point where it tips over from looking like "impressive board" to weird and kind of suspicious. I mean one of their directors is Henry Kissinger. Not just someone with the same name, either, the Henry Kissinger, Richard Nixon's Secretary of State who is now 91 years old.

    4. Re:Argle Bargle Morble Whoosh? by rwyoder · · Score: 3, Interesting

      The board is really absurdly packed with political heavyweights though, to the point where it tips over from looking like "impressive board" to weird and kind of suspicious. I mean one of their directors is Henry Kissinger. Not just someone with the same name, either, the Henry Kissinger, Richard Nixon's Secretary of State who is now 91 years old.

      No kidding! When I was reading a recent article, Theranos sound almost too good to be true, but when I read who was on the board, warning bells went off. What the hell do a bunch of political and military people know about medicine???
      Here is a link to the Board of Directors. Click on the name of each to get a page about their background: http://www.bloomberg.com/resea...

    5. Re:Argle Bargle Morble Whoosh? by TheRaven64 · · Score: 2

      Which is in grossly overvalued like most other damned startups.

      The value of disruptive startups is measured differently to established businesses. If this company has a 10% chance of growing to control a $100bn industry, then it's valued correctly. That doesn't mean that the most likely outcome isn't that it will crash and burn, it means that it's a the high-risk, high-returns end of investments.

      --
      I am TheRaven on Soylent News
    6. Re:Argle Bargle Morble Whoosh? by postbigbang · · Score: 3, Interesting

      A heavyweight board represents market diffusion. Think of what this might mean for military field operations, battlefield hospitals, trauma units, insurance companies and co-insurers, the financial people behind all of these.

      Should the device actually work as described, and become evolved, and its patent lives can be extended, it's both a diagnostic miracle, and a forensic examiner's best friend.

      So, like many other ostensible miracles-in-the-making, a heavyweight board gets to snack on the profits. And maybe purchasers get the rapid diagnostics they need for accurate care plans. Maybe. Maybe. That the process is opaque means that there is much patent and IP law to be considered, too.

      --
      ---- Teach Peace. It's Cheaper Than War.
  2. Another disruptive company... by DRJlaw · · Score: 5, Insightful

    But they were cagey about methodology and didn't use FDA approved analyzers.

    Further proof that, far more often than not, "disruptive" means ignoring the law for as long as humanly possible while hoping that your competitors can't (or won't) follow suit.

    I can't wait for "disruptive" medicine as practiced by anyone with internet access and a hyperlink to WebMD.

    1. Re:Another disruptive company... by Frosty+Piss · · Score: 2

      Further proof that, far more often than not, "disruptive" means ignoring the law for as long as humanly possible while hoping that your competitors can't (or won't) follow suit.

      Uber...

      --
      If you want news from today, you have to come back tomorrow.
    2. Re:Another disruptive company... by willworkforbeer · · Score: 3, Funny

      I can't wait for "disruptive" medicine as practiced by anyone with internet access and a hyperlink to WebMD.

      Hey, that my HMO you're talking about, buddy.

      --
      Pretending this is my office full of bitter coworkers..
    3. Re:Another disruptive company... by cdrudge · · Score: 2

      Further proof that, far more often than not, "disruptive" means ignoring the law for as long as humanly possible while hoping that your competitors can't (or won't) follow suit.

      Interesting fact: 100% of currently FDA approved analyzers were unapproved while being developed.

  3. Anything to disrupt Quest Diagnostics by tompaulco · · Score: 4, Interesting

    Anything to disrupt Quest Diagnostics. I wouldn't use this new outfit because they sound sort of shady, but I won't do business with Quest either. Their prices are insanely high, and they always automatically bill the patient first instead of billing the insurance because they know the insurance will adjust it down to a contracted reasonable price. I have had to spend thousands of dollars of my time on the phone with this company just to get them to bill the insurance company. They have threatened me with debt collection over a debt which I would have happily paid if only they would submit it to the insurance company so I knew how much I actually owed. I certainly didn't owe them the full amount they stated. I have repeatedly told doctors not not to send my bloodwork to Quest, but I guess they are a monopoly or the doctors get kickbacks because they always send the bloodwork to them, without first getting signoff from you about which tests will be performed or getting agreement to pay from you.

    --
    If you are not allowed to question your government then the government has answered your question.
    1. Re:Anything to disrupt Quest Diagnostics by Anonymous Coward · · Score: 3, Informative

      They probably send it to Quest because Quest basically hands out medical record software connections to their order system like candy.

      I develop interfaces with labs for an EMR company. Out of all the labs I've dealt with in this country, Quest is the only one where I can go to their website, fill in a form, and have a connection between a doctor and that laboratory done in days-to-weeks. Other labs, even labs I've dealt with for years, connecting a single client with the same software every other client is using takes weeks-to-months. 8 of our clients are based in one hospital (which has been begging everyone to get on board with the 799-pound-EMR-gorilla and won't connect with anything else) and have been waiting over a year (and we only got into the process because one of the doctors is a department head). One of the other major laboratories that we've had connections with for a decade straight up told me that since the doctor had gotten an interface with his old software just last year, they wouldn't do a connection for that doctor again for a while. It would not surprise me at all if the doctor sent the order to Quest because that's the only lab the doctor could send the order to.

    2. Re:Anything to disrupt Quest Diagnostics by whoever57 · · Score: 4, Interesting

      Let's be realistic here: medical insurance in the USA is a rip-off. Unfortunately, it's also necessary.

      I suspect that those co-pays are in many cases all the the provider actually gets. In other words, my company and I pay something north of $20k/year for what is mostly a glorified discount program.

      What happens is that the provider bills some amount (say $100 for example), the patient pays a 10% copay and then the total bill is discounted by 90%, so the insurance company actually pays zero. There is a bonus for the providers: they get the full cut from patients who have not met their annual deductible.

      I wonder if some of the arrangements are legal: when I phone one medical provider for a discount on a $600 bill for an office visit, I was told that they had an agreement with the insurance company so they could not discount. In other words, two companies agree that a third party cannot get discounts: sounds like something that an anti-trust regulator should investigator should look into.

      There was another insult following that conversation when I asked for a discount: my entire bill was sent to a debt collector, including some items for which I had not received the bill. Scum. I paid the debt collector instead of the medical practice on the basis that the medical practice that did this would get less money out of the deal

      --
      The real "Libtards" are the Libertarians!
    3. Re:Anything to disrupt Quest Diagnostics by Octorian · · Score: 4, Insightful

      And yet, whenever the healthcare reform debate comes up in the US, it seems as if *both* sides of the political isle managed to *completely* ignore everything you just said when formulating their respective outrages and talking points. If only this problem was actually dealt with (and the situation would likely be illegal in any other industry), people wouldn't be so financially dependent on health insurance providers in the first place.

    4. Re:Anything to disrupt Quest Diagnostics by lucm · · Score: 2

      In other words, my company and I pay something north of $20k/year for what is mostly a glorified discount program.

      Forcing people to buy healthcare coupons. That's Obamacare in a nutshell. All this for the low low price of 120 billions per year.

      --
      lucm, indeed.
    5. Re:Anything to disrupt Quest Diagnostics by transfire · · Score: 2

      "Unfortunately, it's also necessary." It is not.

    6. Re:Anything to disrupt Quest Diagnostics by tompaulco · · Score: 5, Informative

      Also, Quest does not automatically bill the patient first.

      Yes, they do. I go to the doctor, they have my insurance information, they send in the bill to the insurance, I get a bill from the provider. The provider sends bloodwork off to a lab of their choosing (despite my objections), the lab has my insurance information, they send me a bill. They don't bill the insurance, I call them, they don't bill the insurance, I call some more, I send letters, they don't bill the insurance. Eventually, they start threatening collections. But how can you collect on an amount when you don't know how much that person owes because you have not yet billed their insurance plan?

      Stop blaming your doctor for your own incompetence.

      I'm incompetent? I don't work at the doctor's office. How do I control who they send their labwork to. I can and have told them not to send the bloodwork to Quest. They do it anyway. You don't get to decide where it goes, you don't get to just "send" it yourself. The doctor's won't give you your bloodwork even though it came out of your body and they technically should have to get your permission to do anything with it.
      I guess you like you getting gang raped by the insurance/doctor/lab companies and that is why you act as an apologist for them.

      --
      If you are not allowed to question your government then the government has answered your question.
    7. Re:Anything to disrupt Quest Diagnostics by PrimaryConsult · · Score: 3, Informative

      I don't understand your problem. My doctor just writes me a bloodwork prescription, I walk it over to the local LabCorp, less than a week later the doctor has the results in hand. If you don't like where your doctor is sending your test results to, just ask for a prescription to go and do it yourself. If the doctor refuses, find another doctor.

    8. Re:Anything to disrupt Quest Diagnostics by drinkypoo · · Score: 2

      Let's be realistic here: medical insurance in the USA is a rip-off. Unfortunately, it's also necessary.

      No, not it is not. Health care is necessary. Health insurance is a scam. Single-payer health care makes it unnecessary. Instead, we got single-law health insurance. Whoopeeshit! Guess what, I can't afford it. It's cheaper to go out of the country for even basic health care. Mexico is right there.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    9. Re:Anything to disrupt Quest Diagnostics by drinkypoo · · Score: 2

      The doctor's won't give you your bloodwork even though it came out of your body and they technically should have to get your permission to do anything with it.

      You have a right to request your medical records. You need to do that, instead of telling us what the doctors won't do. Do it in writing.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    10. Re:Anything to disrupt Quest Diagnostics by bkr1_2k · · Score: 2

      You need new doctors, and you need to start taking your lab work where you want it done. There's no requirement that your blood be drawn at your doctor's office. Hell get the doctor to write the paperwork up (which he/she has to do anyway) and give it to you then go wherever the hell you want to get the bloodwork done. Doctor has no say in the matter.

      That said, I've never been "pre-billed" by Quest so maybe it's something about where you're at, rather than the company as a whole. Their prices are ridiculous though.

      --
      "Growing old is inevitable; growing up is optional."
    11. Re:Anything to disrupt Quest Diagnostics by sociocapitalist · · Score: 4, Insightful

      And yet, whenever the healthcare reform debate comes up in the US, it seems as if *both* sides of the political isle managed to *completely* ignore everything you just said when formulating their respective outrages and talking points. If only this problem was actually dealt with (and the situation would likely be illegal in any other industry), people wouldn't be so financially dependent on health insurance providers in the first place.

      I am an American living in France.

      When I go see a doctor, I pay 20 euros. However much else there is to be paid is paid directly by the state.

      I recently saw a specialist surgeon for my knee. Cost me 60 euros. No idea how much he got paid by the state and I couldn't care less.

      That same surgeon did my knee ligament and a bit of meniscus, both damaged during a fall skiing last year. In one day, out the next day, latest medical advances (tiny scar, everything done by camera - I even got a video afterwards). Cost me something like 330 euros. Can't remember exactly how much but when I said "Oh my god" it was out of shock that the bill was so small, not that I would have to sell my kidney to be able to pay it.

      Do I pay higher taxes?

      Yes.

      Do I get something for my taxes?

      Yes. In fact, not only do I get almost free excellent medical care - my kid will get excellent free university (assuming he passes the competitive exams which I'm quite confident about).

      No immense student debt hanging over his head.

      No getting fucked by the medical and insurance industries.

      I have no problem at all about the taxes I pay now versus what I did living in the US.

      I wish I could bottle up this experience and jam it down the throat of every idiot that says 'socialized medicine bad thing big government blah blah blah fucking blah). Instead to them I say - come live over here for a year and experience just how GOOD it is to not get completely fucked over when you go to the doctors.

      --
      blindly antisocialist = antisocial
    12. Re:Anything to disrupt Quest Diagnostics by Coren22 · · Score: 2

      It isn't socialized medicine Americans fear, it is socialized medicine run by the same government that runs the VA.

      --
      APK likes to ask for responses to the same things over and over. Maybe he just likes the responses?
  4. I note no test for CFS exists. by queazocotal · · Score: 4, Informative

    Even the best testing panels have only found markers for CFS in a statistical manner.
    That is - you take a hundred people with CFS, a hundred people without CFS, and you can with certainty tell which group is which.
    However, you can't with any useful result test a single individual.
    The false positive rate is 45%, and the false negative rate is 45% or so.

    CFS is not one disease, it is almost certainly many.

    1. Re: I note no test for CFS exists. by guruevi · · Score: 2

      CFS may also be a number of other issues masking under a single misnomer. Most people I know of who claim to have CFS have this in common: a form of (clinical) depression, a form of mistrust in science or scientific medicine (homeopathic, vegetarian or other 'alternative medicine' nuts) and denial about the above.

      A friend of my mother has a family of sufferers. They have the lifestyle and symptoms of heavy metal poisoning (live in ancient houses, minimal home upkeep and do antique restoration) they claim CFS, never got tested for lead or other heavy metals by their homeopath. I have a childhood friend that got married that she cannot exit due to religious restrictions and a year into the marriage suddenly acquired CFS.

      CFS is a blanket diagnosis for people that sometimes refuse to get better and I doubt it's even an official diagnosis.

      --
      Custom electronics and digital signage for your business: www.evcircuits.com
    2. Re: I note no test for CFS exists. by queazocotal · · Score: 3, Informative

      There are issues around CFS and the DSM.

      I was an otherwise healthy child until about age 12, when one month to the next I became extremely fatigued, with other symptoms.
      This is not depression - I can be doing something I enjoy for 15 minutes, and my thinking gets gradually muddier. I enjoy cooking.
      Often I cannot successfully make a bacon omelette due to fatigue and irrationality that comes on when doing a task as small as this.

      Imagine a 15 minute task tires you as much as a 36 hour one.
      Not everyone is so affected, and there are likely many other related syndromes all lumped together with different etiologies.

      http://www.ncbi.nlm.nih.gov/pu... - for example.
      CONCLUSIONS:

      Severe CFS/ME patients differed from controls and moderate CFS/ME patients over time and expressed significant alterations in iNKT cell phenotypes, CD8(+)T cell markers, NK cell receptors and T cells at 6 months. This highlights the importance of further assessing these potential immune biomarkers longitudinally in both moderate and severe CFS/ME patients.

      I wish something rather easier to bear had happened at age 12, for example losing both legs.

    3. Re: I note no test for CFS exists. by Cinnamon+Beige · · Score: 2

      Where I've seen it used in actual serious medical settings, CFS basically is where they lump in people who have chronic fatigue, and...nothing that can be determined as its cause but a lot of things that we know aren't it. In some cases, depression appears to be a symptom and not the actual underlying condition, though if somebody is telling me they've got depression and fatigue I'd be checking to see if their thyroid is at all working. (Some of the issues with how thyroid function is checked mean that it can't always be ruled out with CFS, and I've seen no sign if anybody's yet done an up-and-down check--just because a gland is releasing hormones at the proper levels doesn't mean the body is 'reading' them as such, as conditions like androgen insensitivity and diabetes type II demonstrate.)

      However, yeah, CFS is definitely a catch-all, and some of it can be as depressingly simple as we just didn't realize that some condition(s) could present with a different constellation of symptoms or worse still just had too many doctors insisting some particular symptom or other be present when logically it couldn't always be. (There's a few where I have seen doctors skip over even considering them because there's no family history--how, precisely, this family history is supposed to come into being is a mystery.)

    4. Re:I note no test for CFS exists. by Muad'Dave · · Score: 3, Funny

      That is - you take a hundred people with CFS, a hundred people without CFS, and you can with certainty tell which group is which.

      Of course you can! Those with Chicken-Fried Steak will have gravy dripping from their faces.

      --
      Tiller's Rule: Never use a word in written form that you've only heard and never read. You will end up looking foolish.
  5. Re:CEO Elizabeth Holmes by willworkforbeer · · Score: 2, Funny

    CEO Elizabeth Holmes is fucking gorgeous!

    Unfortunately, she sounds like a man.

    Hottest. Vader. Impression. Ever.

    --
    Pretending this is my office full of bitter coworkers..
  6. Everything about Theranos is lol by hsmith · · Score: 4, Interesting

    Silicon Valley and the media want so bad for a successful female "founder" that it hasn't gotten off its knees for this woman.

    "10 years in stealth mode" is hilarious

    Anyone else would have been laughed out of the room with what has come out about Theranos as of late. Claims too good to be true dreamt up by a college kid? Yep, they are probably too good to be true.

  7. Re:And the problem is? by viperidaenz · · Score: 2

    and they're apparently in some cases, using standard off the self testing equipment and simply diluting the sample because they don't collect enough blood.

  8. Re:And the problem is? by mhkohne · · Score: 2

    From the Business Insider article:
    "stopped using its signature finger-prick blood test on all but one of its more than 240 blood tests at the request of government regulators who are looking into the company's technology"

    That sounds to me like the FDA doesn't think the right paperwork has been filed, and have told them to lay off till they clear up the proof that it works.

    Note: that does NOT mean that the FDA doesn't think it works. The FDA seldom has a clue themselves unless there are wide-spread complains - the onus is on the manufacturer of the device to prove that it does what the manufacturer says it does. And this looks to me like the FDA doesn't have enough paperwork yet to be convinced.

    As to the composition of the board: There's nothing inherently wrong there, but when dealing with the FDA, having people who've already been through the process of approving something can be helpful. But there's also plenty of consultants who can help a company through that maze, so it's really not that big of deal in my mind.

    --
    A thousand pounds of wood moving at 300 feet per minute. Don't get in the way.
  9. Re:CEO Elizabeth Holmes by whoever57 · · Score: 2

    CEO Elizabeth Holmes is fucking gorgeous!

    Unfortunately, she sounds like a man.

    Are you sure she exists? She looks like a digital animation to me.

    --
    The real "Libtards" are the Libertarians!
  10. Re:CEO Elizabeth Holmes by 93+Escort+Wagon · · Score: 2, Funny

    Hottest. Vader. Impression. Ever.

    I dunno... having her shout out "I am your father!" at the wrong moment would probably leave me needing years of therapy afterward.

    --
    #DeleteChrome
  11. Are you a crypto masochist? by Trachman · · Score: 2

    You say insurance is a rip-off. Amen to that.

    But you also say that is "necessary"... You mention following epithets: Debt collection scum, considering anti-trust regulators, calling them a glorified discount program.

    Yet all of this "necessary"?

    Insurance is a relatively new invention, and like, many new inventions, are not necessarily designed to defend consumers.

    In medieval ages Arab medicine was considered one of the best in the world. Chinese medicine was also highly advanced. All of the medicine prior to the XX century, whether advanced or not, had one thing in common and it was pay-as-you-go-basis.

    _____________________________________________________

    If barbers and hairstylists were smarter, they would start their own hair cut procedure medical plan. After all, you will not start cutting hair yourself. You also need a training too.

    1. Re:Are you a crypto masochist? by schnell · · Score: 2

      All of the medicine prior to the XX century, whether advanced or not, had one thing in common and it was pay-as-you-go-basis.

      You know what else medicine had in common prior to the 20th century? People died early and often. As late as the 19th century in the US, surgery frequently involved a saw and they didn't even know to wash their hands before performing it. They had no concept of the role of sterilization or even cleaning wounds in preventing infection. No x-rays, no anesthesia (other than a slug of whiskey), no medications - no wonder it was cheap. The rural county doctor could make a 25 cent house call on you because he didn't do anything f---ing useful, and hoped you got better anyway. Or in earlier centuries he'd use some leeches on you before he left. Hospitals as such were places for people to be brought to die, rather than to be cured. So, yeah, it was cheap, and you got what you paid for. Also, you know what didn't exist before the 20th century? Malpractice lawsuits.

      I think the modern healthcare industry is a clusterf--k and severely in need of reform, but to compare it to previous centuries is absurd. Comparing costs of today's healthcare, for all its deficiencies, is like comparing the cost of an airliner to an oxcart and saying "in the good old days, it cost a ha'penny to buy a vehicle to get around."

      --
      "95% of all Slashdot .sig quotes are incorrect or completely fabricated." -Benjamin Franklin
  12. Re:CEO Elizabeth Holmes by lucm · · Score: 4, Funny

    if you look carefully at many of her pictures, especially close-up shots, she looks like someone who wears a latex mask. Maybe it's Steve Jobs underneath, that would explain the voice and how she dresses.

    --
    lucm, indeed.
  13. Re:I'm just gonna lay this out there by lucm · · Score: 4, Funny

    I'd rather trust 10B of funding than an article on the WSJ

    That's what Enron shareholders used to say.

    --
    lucm, indeed.
  14. Re:Poetic Justice? by lucm · · Score: 3, Insightful

    The minute you have a backup plan, you've admitted you're not going to succeed." -Elizabeth Holmes

    It's always easy to be brave with other people's money.

    --
    lucm, indeed.
  15. Re:I'm just gonna lay this out there by transfire · · Score: 3, Informative

    They have a product. And from what I've read it can reliably handle something like 18 different tests. What is still questionable is their goal to reach 200+ tests in one go. But they are still working on it. So here we have a hit piece turning the perfect into the enemy of the good.

  16. Cagey motivation detected. by Hylandr · · Score: 2

    Personal attacks on company's 'cagey' CEO and corporation in the first two paragraphs.

    This couldn't possibly be a biased post at all.
    So sick of spin and hype...

    --
    ~ People that think they are better than anyone else for any reason are the cause of all the strife in the world.
  17. Re:I'm just gonna lay this out there by the+gnat · · Score: 2

    sorry if this sounds confusing but it's not easy to speak techcrunch'y when you're not a native english speaker like me

    Dude, I'm a native English speaker and I'm a software developer working in Silicon Valley, and I can't speak TechCrunchese either, nor can most of my coworkers for that matter. Your version sounds about right though. I think the people who are really fluent in it must take classes in college or something. (Or maybe this is what Stanford fraternity membership gets you?)

  18. Re:the medical industrial complex by Coren22 · · Score: 3, Insightful

    In other words, you are a quack that believes in homeopathy? I'll thank the FDA for keeping you away from treating people in the US.

    --
    APK likes to ask for responses to the same things over and over. Maybe he just likes the responses?