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Operation: Epstein Distraction is go.

We’re one step from harvesting organs from people in rural areas, or hunting them for sport from helicopter, and they’ll cheer as long as “their side” is the one hunting them.

Some people genuinely believe Portland is a warzone.

Your idea of 'rural areas' is not far off from that.


Wake me up when an industrial revolution brings wealth back to impoverished states. I expect I’ll be asleep for some time…

Did anyone actually buy the line about “industrializing America”?

It’s pretty clearly a criminal enterprise meant to enrich the president, his family, and the already wealthy.


These things are not incompatible.

My point is: assume evil, not stupid.

Even when it's really tempting to think your political opponents are stupid.


It's not really about assuming political opponents are stupid.

The current administration feels like a venture capital firm that's gotten control of the country with the intention of extracting as much value out of it as possible before jumping ship and leaving anyone not worth at least 8 figures to suffer the aftermath.


I get that impression too.

The way our world works, that would be completely fine for the 'economy looks set to accelerate' like in this article.

A good economy is not necessarily good for the general public.


I think there is a difference between mere us vs them political sports-fanning and having incredible skepticism towards a particular administration.

I do assume evil not stupid, which is why I don’t believe any of their stated goals for even one second.

This is such a painfully American response.

Nobody can ever imagine a better system, even if it’s used in literally every advanced nation in the world. Nope, instead we have to let Grandpa die painfully to keep those stock prices up.

I’m starting to think Capitalism as it’s practiced here is a death cult of some kind.


The better system that the rest of the world uses is letting grandpa have a bad hip. Absolutely insane that you take a huge part of what makes other systems cheaper and claim other systems would never do that and capitalism is to blame for everything bad.


Well, I mentioned palliative care, but in general, I agree with you.

I would much rather doctors just get paid less. I took my son to the ER. He had a very high fever. They gave him a child's aspirin and me a $700 bill.

I just don't know what the answer is. And really, if you go into a hospital, you get the sense that there's people basically taking advantage of subsidized health insurance providers and patients both. Health insurance in America is absolutely atrocious. Next to gun fanatics, it's the worst thing about this country.


Yes, because the doctor get the majority of that 700$ Bill. NOT

Also the ER is always going to be the most expensive setting to get care.

Why not take him to a pediatrician, if there are no warning signs that he needs immediate attention?


Because the instruction from most pediatricians is to send kids with persistent (not responsive to acetaminophen and/or ice bath) fever above 104F to the ER, especially after hours. Very, very rarely will you find a pediatrician available outside an ER setting after hours.


Yes this is right


Doctors make up 11% of heathcare costs in the US. Their bloated salaries probably contribute about 5% to total costs. Its not insignificant.


Most doctors are scheduled out for weeks. Best bet is an urgent care/walk in clinic. (Good luck if they have a pediatrician.)


Something changed in the US in the last 15 or so years that caused our whole country to become a death cult. All I see in the economics is a bunch of looting and pillaging before the music stops


The rest of the world mostly also uses subsidized private healthcare (except for the UK, where healthcare is far worse than in the US).

The US system works well if you can pay the bills. It doesn't have the undercapacity issues the UK has, for example. The unique problem is costs. Controlling costs would mean consumers strongly supporting aggressive action by insurers if they take actions to push costs down. What Americans do is the opposite: they stage protests and demand immediate political retaliation on insurers who try to control costs. Then left wing politicians condemn the insurers, and they fold in the face of public pressure. Medical staff know the public acts this way and so bends insurers over the barrel, knowing people will blame the "capitalists" (who have tiny margins) over the frontline doctors and nurses who are actually taking the money.

https://www.vox.com/policy/390031/anthem-blue-cross-blue-shi...

In other countries the public doesn't act this way and costs are more reasonable. Sometimes insurance premiums even fall. Switzerland has a two tier system with basic mandatory health insurance that's basically controlled by the government (private firms provide it but there are price controls and they can't refuse customers). And it has supplementary insurance for higher quality care that's almost free market. This year basic premiums went up 5% and supplemental premiums fell 0.9%

https://www.bfs.admin.ch/bfs/de/home/aktuell/neue-veroeffent...

Cost control requires private sector discipline without people like Kathy Hochul getting involved, but healthcare even in the USA does not have that.


Yes, and we absolutely should.


Taxing the living shit out of billionaires won’t fix everything, but it’s absolutely the first thing we should do.


It's funny to me that 1% of poor people is "corruption we need to root out" but having worthless billionaires pay less tax than a school teacher is well and good.

If we're going to work out corruption, let's take everything the billionaires have and actually fix some of our systems.


There's no reason we should pay 2x what everyone else does, and live 10 years less (for healthcare).

We could accept a good deal of socialism into our system and see only benefits; there are a number of things which should not be profit-motive driven at all.


US healthcare costs are nothing to do with socialism or capitalism.

The reason is two-fold: US is subsidizing the rest of the world's medical research, and US healthcare bureaucracy is among the worst in the world.


Most of the basic medical research is funded by tax dollars.

Also, are you sure the bureaucracy isn't exactly the point? If you're too sick to fight off a denial and die, they keep the money.

I think we're subsidizing Wall Street's profits with our garbage system, but the sooner people realize our system is totally failed maybe we can knock it down and do something else.


> The free market could do that without unions.

I suggest doing some reading about labor movements, the Gilded Age, or about current issues - wealth inequality, housing costs, environmental impact, healthcare costs, enshittification.

The free market has failed miserably across multiple dimensions - even Trump has the government owning companies now (Intel). The “free market” has been a failed idea for a long time.

> In tribes in the olden days, when a person got sick/too old, many tribes just left him to die, because they couldn't afford to feed him.

We have archeological evidence that contradicts this directly! What are you even talking about?

This isn’t a good way to structure a society, but your whole point about mixing morality with capitalism is perhaps the worst one.

If you can’t look at the damage to people (and the environment) under our current system and point out how it is broadly immoral, I would suggest taking a closer look at the very least.


I've read a lot and I have been in the buisness since I was 21 years old, almost homeless student in a big city that had to postpone my degree to survive so I've had years to think from the both sides of the "inequality" divide and I got a degree in economics.

You assume that if there is a price on it than there is a free market for it. It's not true at all...

Compare the freedom of the markets that are inefficient in your example:

- housing: one of the most regulated and non-transparent markets with zoning laws and NIMBYism blocking new supply to the market

- healthcare: even more regulated market for practitioners (licence to heal), medical supplies (licences for medicines) and a brocken system that incumbents can't enter (check cost+drugs Mark Cuban's post about how shitty the system is and how far away from normal free market)

- enivronmental impact: that's what the taxes are for and to have a good tax base you tax the polutants, but it's not "the market" it's "the people who consume" in any market free or not you'll get the resources used. In non-free markets you will just use more resources, because the encumbents will extract +400$ for 8Gb ram upgrade of your macbook pro or 10000 USD for a broken leg, that could've done much more if it wasn't inefficiently extorted.

- enshittification: this happens only in the "ecosystems" with no markets inside.

If you go to the freeer markets you'll see that the prices got down, not up. (check the price of computers, electronics and clothes for example).

There are some areas where the market is not the answer, but there humanity hasn't found a better way to optimize resources and ensure freedom unless the people have the ability to change their goods freely without restriction of the third party.


Read about how the Japanese left their old in a practice called 姨捨 (Ubasute) .

You miss the point of the argument, that when there isn't enough food, then this happens.


Do you really want to cite Trump as a rational decision maker?


No, he’s the opposite of that.

But next time people say “we could just seize it”, we have precedent. From a Republican, no less!


If our markets weren’t corrupt, everyone in the AI space would be bankrupt by now, and we could all wander down to the OpenAI fire sale and buy nice servers for pennies on the dollar.


I'd take this more seriously if I didn't hear the same thing every other time there was a spike in VC investment. The last 5 times were the next dot com booms too.


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