The Sobering Reality of Entrepreneurship in the U.S.
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No, it's not a bit different. It's completely different. It's another universe.
The vast majority of self employment in DF is a fruit stand or selling cigarettes at traffic lights (not that there's anything wrong with that).
I spent some time with an Italian entrepreneur a few weeks ago and he told me "we have three VCs in our country. and two are out of money."
The Sobering Reality of Entrepreneurship in the US is that we have it better than everybody else in the world, and even more so if you are an entrepreneur in SF, NY, Boston, Austin, etc.
The problem is that the US is hostile to small businesses. Are you a single member LLC? Then you are personally liable for claims against your business. Want health insurance? Get ready to pay through the nose. How about at tax time? You'll have self-employment tax, and most likely special state taxes on businesses (NY has this) to look forward to. The list goes on.
If you have a successful software business and don't need to be in the US it's actually better to leave and run it elsewhere.
If people could do a startup elsewhere you don't think they would already. Taxes, liability, and health care are the least of the problems for a startup.
You might as well be saying people should emigrate to country other than the US. There are far easier entry ports, yet the US still manages to be #1 no matter how many hoops they make you jump through.
While this infograph is inconclusive it gives an accurate picture overall http://grasshopper.com/img/blog/entrepreneurism-us-europe.PN...
In Austria, if you become unemployed, and want to use that as an opportunity to start a company, the govt will extend your unemployment benefits by 6-18 mos, and give you a big break on your social taxes for years.
Also, you get unemployment insurance as a self-employed person, as of a few years ago.
And, naturally, everyone - no matter what they do or how much they earn - is covered by social health insurance, which is excellent. (Also pensions!)
Also, yes, you have to come up with 20-30K euros to start a true LLC -- but you can do business for "free" as a selbständig, or self-employed person, including employing another. However, if you do set up an LLC, you can never be liable for more than that 20-30K euros - it is not a fee, it is an escrow. If you were to close the business, without outstanding liabilities, you would get your money back.
Taxes, liability and healthcare may SEEM like the least of worries for a startup -- right up to the point where they suddenly become life-or-death, mission-critical. Naturally.
There is a reason its called a startup culture. It takes a societal shift to get one running not just a few tax incentives.
Also unemployment doesn't change it. There are certain people that have what it takes to run a successful startup. These people are in demand and are never unemployed.
I do agree with your other general sentiments.
Beyond that, the only advantage single-payer systems have is the lower prices that result from wielding monopsony power. I don't think it's possible to maintain the quality and pace of improvement of health care when people are funding it less than they would be willing to. Health care is expensive because we value it so much that we throw tons of money at it. People try to provide better care in order to get some of that money, and if you take some of the money away, there will be less people advancing the industry, which isn't what people want.
If the U.S. government stops incentivizing the connection between employment and insurance, starting a company wouldn't need to have any effect on your health care. No single-payer system required.
Also, you assume a slow in advancement in medicine. This can't be further from the truth. Small example: all of the patients registered in the UK (i.e. residents) are getting digital patient records.
Americans will be covered rain or shine once the healthcare reform bill kicks in. If you can afford it, you have to by insurance. If you can't, it will be subsidized so you can afford it. That's the goal, anyway.
Markets require choice to function properly. I think the American approach is less likely to result in unintended consequences.
We spend more on health care in large part because we have way too much surgery going on. There's other stuff going on too, but there's a lot of waste to go with us 'valu[ing] it so much'.
If there's too much surgery going on, that can be fixed without a single-payer system. My point about the value we place on health care is that even if we fixed all the problems with health care in America, we'd end up paying more than countries with single-payer systems because those systems force the price down below what people would be willing to pay on their own. That is a bad thing.
This is very far from the truth. Worry not, rich people can spend to their hearts content in single payer countries. They still spend less and have better outcomes.
In the abstract maybe we do want to spend a lot of money for health care. However, medical costs have been growing at double digit rates. Hopefully that pattern does not continue for too much longer.
Medical costs are rising because people have more and more disposable income, and they're choosing to spend it on the things they value most, like health care and education. Instead of letting that price signal serve as motivation for more people to supply the goods and services that people value most, single-payer systems force prices down and result in less investment in the products that people want to purchase. Forcing people to buy a product from a single vendor hinders competition. Forcing prices down by hindering competition is bad for the future of any market. It's a bad idea.
The median real income has been hardly been growing at a fast rate. You'd need it to get growing at an incredible 10% a year for your explanation to be at all credible.
I didn't say incomes were rising. I said disposable incomes are rising. I can't find data to back that up, especially since the economic definition is different from the colloquial meaning of "disposable income." However, it's clear that technology has made both the necessities and luxuries of life far cheaper over time, which leaves more money for us to spend on other things even with a stagnant income.
The solution is requiring everyone to pay for insurance so that the pool of insured people is as large as possible. My personal preference is either a single payer, or multiple payers who are all registered non-profits and required to keep a very high Medical Loss Ratio. The individual mandate will do this to some degree in the US, but it may still be cheaper to just pay the fine than get insurance.
Say I buy an insurance policy to mitigate the risk of treating cancer, should I develop it. I would like a contract that said, "The average cost of treating this is $X and its incidence is %0.Y so if you pay us $X * %0.Y + Profit, we'll agree to pay to treat you if you ever develop it."
Or say I already have cancer and want help treating it. I'd like a policy that said, "It might cost you $10,000 or it might cost you $500,000 to treat this. But we'll offer you the average cost split into payments over several years, and we'll absorb shocks in the price for you."
It seems bizarre to me that health insurance is sold the way it is. It's as if I had auto insurance that paid for repair work to be done that month--whether or not the accident occurred while on that particular contract.
For example, Greece's high self-employment rate includes a lot of one-man grocery store or fruit/vegetable stand operations, because large supermarkets were more or less banned until recently. More generally, there were (again, recently relaxed) regulations on how many hours you could have a retail establishment open per week, and what hours they could be, intended to make it easier for small businesses to compete with the large ones: a one-man store can't reasonably be open more than maybe 60 hours/week, so the law generally banned businesses from being open more than a certain number of hours a week, and required them to close at least one or two days a week (depending on market segment). That made it much easier for small operations to compete with the large ones, because your mom-and-pop store open 6 days a week, 8 hours a day, wasn't up against a 24/7 chain store.
Some though is perhaps just cultural. When a rich Greek builds a vacation villa, for example, he'll typically get a independent architect to design it and oversee its construction, rather than going with a big design/architecture/construction corporation, which is seen as too cookie cutter / less prestigious. I bet just architects alone account for several thousand of the self-employed Greeks, whereas most American architects work for corporations (exceptions only on the very high end of world-famous architects). It even extends to commercial real-estate: the typical 6-story office or apartment building in Thessaloniki or Athens is designed and built by a small independent firm.
You will: - work more hours. - deal with so much more stress. - flirt with financial ruin at least once. - struggle to balance work and family.
But some folks are just cut out to do it. It's like a genetic predisposition that can't be denied. And if one can learn to cope with the issues I mentioned (and more) being an entrepreneur is one of the most rewarding life experiences out there.
I bet Mali or Niger have an even higher rate, given most of the working population are subsistence farmers. Further, many countries don't have the laws that, say, the US and UK do to prevent abusing "self employed" workers by treating them as employees without benefits.
PG has the great metaphor two saplings, one of them is a redwood sapling, it's expecting to grow. On that measure we don't create self-employment with entrepreneurship we create jobs.
HNers want to create a lot of employed people when they are succeeding.
http://network.nationalpost.com/NP/blogs/fullcomment/archive...
(and, less humorously: http://online.wsj.com/article/SB1000142405270230425270457515...)
This might be one of the least insightful articles ever on mint life.