Comment by lotsofpulp | Hacker News Reader

Comment by lotsofpulp | Hacker News Reader

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> what do others do with our information - and I think the best answer is the medical ethics answer - nothing unless it is in the individual’s best interests.

How is saving money not in an individual’s best interest?

You have person A who chooses to consume known carcinogens and excess carbohydrate, and person B who abstains from them and exercises control for their diet.

Why is it ethical for person B to have to subsidize person A?

Similarly, person A chooses to spend more money on less nutritious fast food meals, and person B makes quinoa salad at home and takes it to work. A lender may conclude person B exhibits behavior that indicates they have a lower probability of default, so why should person B have to subsidize person A’s lifestyle?

If the counter argument is that person A is poorer, had poorer parents, had a worse upbringing in a worse neighborhood with worse influences, then the correct way to subsidize person A is via government spending (cash, education, raising the floor on pay to quality of life at work ratios).

In plenty of countries, there is already a tax system to punish "bad consuming choices": e.g. tobacco, alcohol, and in some places even products with excess sugar are taxed more than other products. In Europe, we call it "soda tax" or something. If you want to get academish, you can call it a Pigouvian tax.

I think it's perfectly OK. Peeping on someones digital data is not OK.

The whole premise of insurance is that a large group shoulders the burden of the few that need to use the insurance. If outcomes can be predicted this whole concept goes away. People would apply for insurance and if they were not denied they'd know they don't need insurance and drop it. Everyone else would be denied or priced out of the market, and that would be the end of the insurance business and nobody would be insured.

None of us are perfect.

But we have this perfect expectation of how we should and could be in our heads - thinner, fitter, more sensible with money, happier with friends. But we all fail. We just tend to fail in different ways.

Some of us are luckier, their satiety levels are lower, their kidney disease markers are low, no bowel cancer, no mental illness.

Those people won’t need high insurance premiums. But the point of insurance is not to reward the lucky ones, the whole point of insurance is that the lucky ones do subsidise the unlucky.

And please do not think “that person pays into a well researched health plan because they are more intelligent,more handsome, more like me”

If paying into a good health plan is important then simply make everyone do it.

The term is social insurance.

After staring at it for a while it’s the only thing that makes sense.

And then you can use that social pressure for useful things

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