If you have latency detection already why not pause H.264 frames, then when ack comes just force a key frame and resume (perhaps with adjusted target bitrate)?
This picture is wrong because deaths themselves are not as interesting as estimated years of live lost.
For cancer and heart disease that multiplier would be around 5x (e.g. mostly older people die from cancer, but if they did not, in ~5 years (optimistically) they'd probably die from something else anyway). But for overdoses that would be around 50x. So one needs to scale overdoses at least 10x.
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