Up to you whether you want to limit your answer to software that is possible/realistic

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[–] 63 points 3 weeks ago (1 child)

Nice try, open source developers who want to make the world a better place.

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  • [–] 54 points 3 weeks ago (19 children)

    Nurse here. The software we chart with (that I've used at least - plenty out there I haven't touched) ranges from meh to absolute shit. Some of the features on my wishlist would be elimination of redundant charting (like, if put the date down in one section, don't fuckin ask in 3 others!), a way to save templates without patient-specific data, so when I do the same procedure on 5 different people, I can just click the template and fill in any holes instead of starting from scratch each time. Some actual standardization so different programs can actually talk to eachother. Like, ER, scheduling, preop, surgery, anesthesia, recovery, med surg, and sterile processing are all departments that might be involved in a single patient visit (checked into ER, sent for emergency surgery, then kept overnight for observation before discharge)... there'll be some overlap, but scheduling, anesthesia, and sterile processing are usually each rocking their own unique software. The others are usually decently linked up nowadays, but still with the odd exception... like trying to get surgical updates from ICU so you know when to have a bed ready; but the chart is just dead and now a PACU nurse is calling report cuz the surgery finished 40 fuckin minutes ago, all because some some jackass in the ER left the patient's chart open which locked everyone else out of signing their notes. Surprise!

    ...most of the issues with our charting software boils down to dumb shit like that - proprietary systems that are incapable of communicating, or just good ol' fashioned garbage design. And it'll stay that way, cuz oligopoly.

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  • [–] 14 points 3 weeks ago (2 children)

    As someone who's worked with data from the backend of these systems I feel your pain. Why does someone need 10 different DoB's over the course of 3 visits and why did those 3 day visits occur on 8 different days?

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  • [–] 9 points 3 weeks ago (1 child)

    As a frequent patient I understand why everyone is always asking me my DOB excessively, to make sure they've got the right person and that I'm 'with it' enough to call the shots about my health, I assume? I guess that translates to paperwork too.

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  • [–] 6 points 3 weeks ago (1 child)

    As a physical therapist, one thing that bugs me (and I know it’s not a software limitation but spending choices) is having to wedge my notes into a format designed for a physician or something else.

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  • [–] 2 points 3 weeks ago* (last edited 3 weeks ago)

    I got a small taste of that back in nursing school. Our care plans followed a very strict template for our clinical patients, and they were 100% geared toward med surg. My day in the OR made for an especially hard time trying to check all the boxes... I remember a whole lot of "yeah I didn't assess for that, cuz pt was getting surgery... but, uh, here's what I'd be looking for if I did! ...uh, nope, no interventions, due to the patient still getting surgery, but here's a few things I could have done if they weren't being actively cut open"

    Fortunately the profs were well aware of that dillemma, so they graded pretty soft on OR days lol. So, you've definitely got my empathy on this one - dealing with that garbage every day sounds like a nightmare!

    ...this is probably the core issue of why so many different departments end up using a completely different software package.

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  • [–] 10 points 3 weeks ago (4 children)

    most of the issues with our charting software boils down to dumb shit like that - proprietary systems that are incapable of communicating, or just good ol’ fashioned garbage design

    This is everywhere. I deleted a more thought out response when I realized that someone probably handed over ALL of the backend databases of patient data to an LLM (it's HIPAA compliant so don't worry *wink*) so that it can spew out MORE bullshit that doesn't work, but a lot of money was paid for it so we're going to use it.

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  • [–] 0 points 3 weeks ago (3 children)

    HIPAA is the opposite of privacy anyway - it's specifically about enabling sharing of data 🤦🏼.

    And it was sold as a privacy tool. Lying cocksuckers.

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  • [–] 3 points 3 weeks ago

    This is such a weird take. Your healthcare professionals need to be able to share your data with specialists safely and securely. That's what HIPAA is about from my perspective, and everyone I work with. If you want effective care, you need to be able to share your medical data without fear of it leaking. The fact that people abuse the system is a separate problem

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  • [–] 3 points 3 weeks ago* (last edited 3 weeks ago) (2 children)

    Oi,I feel you so hard on this, as a software developer who works on medical devices and software used in medical contexts, holy shit the pickings are so bad.

    Why can't someone just conjure up solutions to all of this (which is totally doable technically)? Because FDA regulation forces us to follow Byzantine release processes and meet very exacting requirements for the software end product.

    I could probably knock together at least two or three of your wishlist items in a week, and it would take 1-3 years for it to make it to the first customer. Even patches and fixes I build for existing products take 3-6 months to make it out the door after they're done.

    All of that to say, these make friction points that make it difficult for developers to coordinate and standardize without introducing mountains of extra bullshit that didn't need to actually be in the product or software in the first place

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  • [–] 4 points 3 weeks ago (1 child)

    It’s always been a fool’s errand to attempt software in the education or medical space. The requirements are too onerous and haphazard to be anywhere near worth it.

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  • [–] 2 points 3 weeks ago (5 children)

    I work for a division of a health tech company and I can say that we hear you and value this kind of feedback. There are folks I work with who have dedicated themselves (including myself) to seek solutions to problems like these, and as a former integrations engineer, some companies are better at interoperability than others, despite the efforts of the HITECH Act in the US. My frustration is time and getting the attention of those who greenlight projects to work on things like these. On one hand, I feel OSS could help solve these problems sooner, but on the other hand, healthcare has some very opinionated people and things could get messy.

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  • [–] 1 point 3 weeks ago (2 children)

    I have a random suggestion that might be a little more useful/unique than my bitching above, (which you've probably heard a few thousand times already...)

    One area that's lacking in EVERY program I've used for charting is education. We get nursing students pretty regularly, as have the previous hospitals I've worked at (guessing this is pretty universal - where there are nursing positions, there are nursing schools fighting over clinical slots). When I was in school, we were given access to real patient's charts during clinicals, and we spent a lot of time doing things like sitting at the nursing station and staring at a computer monitor at lists of lab values/meds/vitals trends/etc and whipping a pen out and transposing that shit onto paper so we could take it home and write a care plan from it. Patient data could be printed, but doing so was forbidden by the school program, because HIPAA - and understandably so, given the legal ramifications for fucking that up. Even copying the data into a word doc and manually omitting names and such was still hard no for the same reason - we might miss something and accidentally violate HIPAA.

    So, the idea this is all leading up to: in the 'View' tab or something, make an option for "student view" that pulls up a plain text summary of the patient -- but without any PHI. Anything entered into a patient's name field will output as "PATIENT"; staff entered will just be "DOCTOR, DOCTOR2, NURSE, TECH" etc. Patient's age? Round to the nearest 5. Dates? Fudge all of them by a random number of days (RNG on generating a report) , but by a consistent amount for all dates in that report, ie real admission date of Dec 3 2025 and discharge date of Dec 5 2025 --> RNG applies -42 days --> Student View summary reports Admission at Oct 22 2025, and discharge at Oct 24 2025. Labs? Fudge it by RNG with +/- 1% of real value.

    You get the gist.

    Give me a report that's useless as fuck for the real patient - no PHI at all. BUT, you've essentially just generated a completely fake patient with useful data for a case study. In the student's mind, there's no difference - "PATIENT, 75, MALE, hospitalized for 2 days" is effectively the same case study as "Leeroy Jenkins, 73, Male, hospitalized on these specific dates, 2 days apart". Slightly tweaked labs? who gives a shit, all they care about is if they're out of range by a clinically significant margin.

    And here's a golden bit: PRINT THAT SUMBICH!! Or fuck it, email the .txt to your student email so you can copy and paste it. There's no HIPAA, so it doesn't matter. What matters is the student isn't wasting their clinical hours fucking around on a computer - get their ass into a patient room where they can do some nursing, cuz they'll learn more there than the entire rest of the degree program. They can crunch the data for a care plan at home.

    ...that ended up being really wordy. Sorry about the wall of text. On the off chance anything comes of it, let me know!

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  • [–] 1 point 3 weeks ago (1 child)

    So there's no software to do what literally every insurance swears they don't break the law doing en masse?

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  • [–] 1 point 3 weeks ago

    There's none that I'm aware of that basically anonymizes patient data for use outside of healthcare.

    Billing and insurance all falls under HIPAA - those facets and every other aren't disallowed (legally) from things like printing sensitive info - basically if it's being used as part of your care, it's fine.

    And students are no exception - when they're on a clinical rotation, they're on that patient's healthcare team and can legally access and print etc that info. The problem is that students still need that data for use outside of that care, and HIPAA doesn't give a fuck about their homework, so any papers that have PHI on it become a violation when they start being accessed for those things. And schools don't trust students not to fuck that up, so they'll come up with overkill-by-design policies like disallowing students from printing PHI, even if it's for use on that clinical and meant to be shredded before leaving. So, the school wants to play things extra safe.

    ...this isn't to say that insurance companies aren't abusing your data, but can legally handle it within the scope of your billing.

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  • [–] 29 points 3 weeks ago (10 children)

    A multimedia centre like Kodi or Jellyfin with the ability to schedule shows like it was a regular TV channel. With shows playing on their time slots, a random movie starting every day at ten.

    There are times that I just want to turn on the TV and watch whatever is on without having to scroll through the entire library for something I could be in the mood for.

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  • [–] 13 points 3 weeks ago (7 children)
  • [–] 4 points 3 weeks ago (5 children)

    No, I guess I will spend the next few hours looking into it.

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  • [–] 3 points 3 weeks ago* (last edited 3 weeks ago) (4 children)

    FYI, the dev has abandoned this software. It shouldn’t matter too much, because you should NOT put it on the internet as it has not auth at all. So it shouldn’t matter too much. But just fyi

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  • [–] 2 points 3 weeks ago (1 child)

    when was it abandoned? The git repo seems to be reasonably active

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  • [–] 1 point 3 weeks ago* (last edited 3 weeks ago)

    Oh. Maybe the dev came back to it. Last I heard (about maybe a year ago) the dev had stepped back from it. Good to know that it’s back being updated though!

    edit: ah nice. it's being developed again. just checked out the github repo. cool!

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  • [–] 2 points 3 weeks ago (1 child)

    Thanks for the heads up.

    I always get nervous with these warnings because I never use anything remotely so I don't really know what it means to put it on the internet. Can it be put accidentally or it requires a series of steps for it to be accessed?

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  • [–] 78 points 3 weeks ago (1 child)

    A program that continuously poisons all corporate AI data sets.

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  • [–] 26 points 3 weeks ago (11 children)

    Optical character recognition/digitisation thingy but for sheet music.

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  • [–] 15 points 3 weeks ago* (last edited 3 weeks ago) (6 children)

    This apparently does exist and is called OMR(Optical Music Recognition) software

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  • [–] 14 points 3 weeks ago (5 children)

    It exists, but every bit of software I've tried has incredibly poor performance on anything except the absolute cleanest typset printed pieces.

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  • [–] 1 point 3 weeks ago (4 children)

    I wonder if an AI can do that? It's obsoleted LeafSnap.

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  • [–] 3 points 3 weeks ago (3 children)

    just tried with the free version of claude. It works a lot better than anything else I've tried but it's not perfect, averaging ~2 mistakes per 10 bars for a relatively simple score.

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  • [–] 1 point 3 weeks ago (2 children)

    Seems strange that it's so hard to get right. I guess it's a bit like reading handwriting - subtle tiny differences?

    Does it give you a midi file from a scanned musical piece?

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  • [–] 2 points 3 weeks ago (2 children)

    If I was to build something like this, could you beta test? Sounds like a fun weekend project for me 😄

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  • [–] 25 points 3 weeks ago (7 children)

    Something that would remove clickbait articles, AI slop, propaganda, commercials and probably more that are poisoning our lives.

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  • [–] 45 points 3 weeks ago (4 children)

    An immortal worm that drains wealth from billionaires, launders it, and redistributes it as some kind of deus ex machina bonus to everyone else or to charities.

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  • [–] 22 points 3 weeks ago (3 children)

    Accurate search engine that strips ai generated articles from search results.

    Accurate product search engine, that finds what I am looking for instead of ads, and includes searching by what the product is made of, it's shape etc. Last time I was trying to find no glue no glass non-welded no plastic tea infuser it took me far too long.

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  • [–] 2 points 3 weeks ago*

    Literally just got pissed off enough to give up for a bit searching for a hard drive enclosure. Fucking pages and pages of docks. I typed in the god damn parameters of what I am looking for, stop showing me shit that isn't that. The assholes miscategorizing their shit so it comes up in more searches should be executed.

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  • [–] 22 points 3 weeks ago (5 children)

    An easy one I would do myself if I had more time. A calorie tracker that does not try to get you into a cult.

    • The only time it accesses the internet is to update its on-board database.
    • None of your data gets sent anywhere unless you choose to share it (for things like new foods).
    • No suggestions.
    • No exercise programs or tracking
    • No sleep tracking.
    • Tracks only what you want. Extras available through add-ons or something, but I don't care about tracking nutrients, fat, carbs, etc. so keep them out of my way.
    • In short, follow the Unix guideline of an app doing one thing and doing it well.
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  • [–] 20 points 3 weeks ago (4 children)

    An actual, healthy, good online social ecosystem. A place with deep quality conversation without bots, trolls, rage bait, misinformation, etc. Somewhere that felt like actual community.

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  • [–] 3 points 3 weeks ago (1 child)

    I am afraid that would only be possible if it's faked, with everyone else except you being a LLM

    Or/and if almost every real user is shadow banned to other real users except bots

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  • [–] 4 points 3 weeks ago

    Real talk I'm surprised some tech bro hasn't made that yet. Like not hiding it, just fully branding it as an AI-first replacement for Reddit/Twitter.

    The user could describe the type of content they want to see or "world event" they want their "community" to experience. Like a medival twitter, and have a political plot develop between two kingdoms and the human user's engagement on the thread can help sway public opinion on the subject leading to different narrative events.

    With a world of 8 billion people, there are enough out there that would enjoy it...

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  • [–] 15 points 3 weeks ago (15 children)

    A peer-to-peer prediction market where instead of betting on forest fires, we bet on datacenter fires and mansion fires.

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  • [–] 8 points 3 weeks ago (14 children)

    Who would bet against those fires in a platformike that?

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  • [–] 2 points 3 weeks ago (13 children)

    You'd bet against the fires if you wanted a payoff when the fire doesn't happen. You pay when the fire does happen. So anybody who benefits from the fire world have an incentive to bet against it.

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  • [–] 2 points 3 weeks ago (12 children)

    I don't think many people that don't want a fire would use the platform...

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  • [–] 1 point 3 weeks ago (11 children)

    Let's say you don't want a fire, like it's your data center. You'll want to get paid if the fire does happen. So you bet on fire, like you're buying insurance against it.

    Two interesting differences from existing fire insurance.

    • If you're not an asshole, then now you're just getting insurance at a better rate because there's more competing insurers.
    • If you are an asshole, then you'll find yourself now paying the external cost of owning the data center, as higher insurance rates.

    That's the real point of this software. It would allow crowdfunded defense against people who are destroying the world and own the legal system. Most participants would just be minimizing costs or gambling, not ideologically motivated.

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  • [–] 1 point 3 weeks ago (10 children)

    My point is that people would have an incentive to bet for the fire and then cause the fire, so once a bet is published chances are that the fire will happen.

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  • [–] 1 point 3 weeks ago (9 children)

    There would need to be sufficient market depth to pay someone to act. So we couldn't just publish $0.01 bets on everything and watch the town burn. "Coasian" solutions like this are limited by transaction costs.

    In practice, the owner of the datacenter would need to either eliminate the externality or watch it burn. If the datacenter is worth more than its external cost, then they can reimburse their victims or pay for cleanup. If the revenue from the datacenter is less than its external costs, then it's a net loss for society and ought to be shut down.

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  • [–] 2 points 3 weeks ago (8 children)

    There would need to be sufficient market depth to pay someone to act.

    If such a platform existed so many people would bet for "fire" that there wouldn't be depth, but if you take a look around lemmy you can see some people hate AI so much they would do it anyways.

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  • [–] 1 point 3 weeks ago (1 child)

    I assume you're talking about Lemmings betting against fire because they want data centers to burn.

    If there's a lot of people betting, then why wouldn't there be depth?

    If the data center is causing measurable harm, then a victim losing the bet against fire is still a net gain. If you're acting rationally, then you can afford to do it repeatedly — like insurance. But if people are just flushing their money down the toilet because they hate something and gain nothing from its loss, then they'll go broke.

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  • [–] 1 point 3 weeks ago* (5 children)

    If there's so little depth that they're not getting a significant reward, then that's where we are right now. Looking around you and I see the same thing - a bunch of Lemmings with big words and no action. We have no mechanism of coordination because centralized organizations get censored, like with the Taft-Hartley Act or the CIA abroad.

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  • [–] 2 points 3 weeks ago (4 children)

    Yeah, French people, Hungarians, poles, Czechs, east Germans... didn't need fancy machanisms of coordination to take action

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  • [–] 1 point 3 weeks ago* (last edited 3 weeks ago) (3 children)

    Unfortunately I don't think they're coming to save us.

    Edit: actually it looks like you might be suggesting something else. Just so I don't accidentally make a strawman, could you elaborate on what you expect individuals in oppressive countries to do?

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  • [–] 2 points 3 weeks ago (2 children)

    Organize and overthrow the oppressive government, which nowadays doesn't require guillotines anymore (like France ca. XVIII century), it can be as boring as voting (Hungary 2026). Protest, strike and demand what is fair.

    Or at least collectively bargain for better conditions. How do you think people got the 40h work week, 2 days weekend, universal healthcare (not in the US), mandatory paid leaves (not in the US), workers rights (you get the drill...).

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  • [–] 1 point 3 weeks ago (1 child)

    The Taft-Hartley Act, and other laws like it, have dramatically weakened American unions far below what's necessary to overthrow anything. If your strike is too successful, then the government will declare a compromise on your behalf and end it.

    Joining a union is a good idea, and there's no reason why we can't come up with a clever program to avoid restrictions on unions too. I'm just explaining why Americans have not simply organized.

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  • [–] 1 point 3 weeks ago*

    If just the people who voted democrat (so leaving out disillusioned republicans and those who didn't vote) decided to strike, the government wouldn't be able to force 80 million people to work.

    Strikes and protests don't follow the exact letter of the law. I'm not saying to riot and burn cities, just show the same interest as when the local sports team wins a competition. You do see hundreds of thousands of people on the streets for that.

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  • [–] 15 points 3 weeks ago (3 children)

    Community driven search engine. Where everyone can upvote/downvote/tag or even comment on page or service, to filter out garbage services and help increase visibility of valuable sites.

    That would probably require being logged in and verified as a real, unique person, otherwise bots would make it garbage really fast.

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  • [–] 2 points 3 weeks ago

    I used to work for a startup back in 2009 that used semantic tagging and your social graph to improve results on the big three search engines. It was a pretty cool idea with the semantic tagging (type "apple" and you would get a drop down to select apple the fruit, Apple the tech brand, Apple the record label, etc.) and then your search results were filtered to what you were looking for. They pivoted and added your Facebook network so others using the system that you knew would prioritize results with the assumption that if you were searching for something that someone you knew had already searched for, it was likely that their findings were relevant. Yes, a ball of privacy issues to be sure. Always anonymous, and you could opt out of sensitive searches being included, etc. But, it did provide some means of social proof in your search results. Short lived job for me as funding ended and I moved on to create my own company.

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  • [–] 15 points 3 weeks ago (2 children)

    A phone app that automatically accepts calls from suspected scam numbers, robocalls and unknown numbers and immediately mutes the mic, keeping the call going until the machine on the other side of the line disconnects and marks my number as non-working.

    This has been how I've gone down from multiple spam calls a week to just a few a year. I'd really like to automate that.

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  • [–] 4 points 3 weeks ago

    I had an idea, personally I just use the Google phone app it seems to do a pretty good job of blocking spam calls somehow. However I had a funny idea. I suspect that these robocallers May be able to recognize the we're sorry your call cannot be completed as dialed tone and words which may signal to them that the number doesn't work.

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