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AnthonyMouse

39,451 karma · joined March 30, 2012

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AnthonyMouse··on Bill to Ban Private Equity from Owning Medical Practices
You're still assuming that the insurance companies are the biggest problem, and on top of that that single-payer is the best way to improve even that part of the system.

For example, why do we have insurance companies "negotiating" with providers and having "in-network" nonsense instead of requiring universal price transparency? Instead of the insurance company setting the price, have them set how much they cover, e.g. they pay 90% of the second lowest price that service is available for within 100 miles of the patient. Then the patient chooses where to go and pays whatever the insurance doesn't cover. Meanwhile the providers are all required to publish transparent pricing so there is a public database of everyone who can perform a service and how much they charge.

Then a patient receiving non-emergency care (which is the large majority of medical expenses) can decide whether they want to travel 50 minutes to get the lowest price, or pay a little more of their own money because another provider is closer or provides optional amenities. Which in turn makes the providers actually compete with each other, which is the thing single-payer doesn't get you.

AnthonyMouse··on Nobody pays for FOSS, we can force them to
> it will still allow any Amazon out there to host your code for free as part of their service catalog, while you are left to go out of business.

Most other licenses allow them to do that without even contributing back improvements, since they're running the software but not distributing it.

Moreover, what is your business supposed to be? When you're selling support contracts or getting paid to make specific improvements to the code, what difference does it even make that some customers are running the software on AWS rather than their own local hardware?

AnthonyMouse··on Uber arbitration award over Emily Normandin-Parker’s death
> If you don’t punish the corporation they won’t ensure they vet their employees and have strict policies and procedures around handling customers.

What if that's what you want?

Why should we be pressuring corporate middlemen to be regulators and law enforcement? They're not only bad at it and in no position to do it well, their attempts do more harm than good.

How is a corporation supposed to "vet" drivers? The only plausible tools they have are things like background checks. So now you have someone who is only trying to put food on the table getting excluded from some of the only work it's easy to get quickly because they have an unrelated drug conviction from when they were 19 years old. Meanwhile the same thing happens in the case in question because that driver can pass the background check.

Whereas if you put the liability on the driver, i.e. the person who is actually there and making the decision, then losing their fancy new car and maybe going to jail provides the right incentive to not dump people in a dangerous place, to the person who is actually choosing to do it.

AnthonyMouse··on Android 17 is the first since 3.x to add new APIs without releasing to the AOSP
That's the middle manager's rationalization again, but meanwhile nobody actually uses their OEM-specific app store and the two dollars they made from the two percent of customers who accidentally bought an app using their store is less than the amount of money and goodwill they lose to pissing people off.
AnthonyMouse··on Nobody pays for FOSS, we can force them to
Disassembling a binary to tell you what it does is neat, but it doesn't give you anything new against free software whose source code was public to begin with.

Whereas if you ask it to generate a new large complex piece of software, the amount of human labor required to guide it into producing something that isn't hot garbage and then continue to maintain it indefinitely generally compares unfavorably with the amount it costs to buy a support contract for the existing thing.

AnthonyMouse··on Nobody pays for FOSS, we can force them to
There is a meaningful difference between allowing someone to use your code for whatever and assigning the rights to it so that you can no longer use it.

And requiring contributions under BSD/MIT doesn't seem to be a huge problem for the projects that actually use those licenses.

The bigger problem they have is that nobody uses e.g. FreeBSD because if they do anything interesting the code just ends up in Linux/macOS/Windows whereas the reverse doesn't happen.

AnthonyMouse··on Bill to Ban Private Equity from Owning Medical Practices
If PE buys something that doesn't have a moat then they can't enshittify it because the customers would immediately switch to alternatives.

They often still buy those things, e.g. when there is a failing company in a competitive market that could do better with new management, but then no one complains about it because they're not making the product worse (and can't because there is actual competition).

AnthonyMouse··on Bill to Ban Private Equity from Owning Medical Practices
> But why should an owner of a practice sell to their junior staff when PE is there offering 2, 3, 5x as much?

The better question is, why does a medical practice have a moat? What exactly is the PE firm buying? When the senior doctor retires, what stops the junior one(s) from renting their own offices and taking their patients with them?

The answer is presumably something like, non-compete agreements, or vendor lock-in from EMR systems, or some kind of insurance or regulatory bureaucracy. So then we need to identify what it actually is and do away with it so the next generation's juniors don't have to outbid Wall St to acquire it.

AnthonyMouse··on Bill to Ban Private Equity from Owning Medical Practices
> It boggles my mind when I still occasionally hear people speaking out against all forms of single payer healthcare in the US saying they don't want to have to wait weeks/months to see a doctor like they do in Canada/UK/wherever.

Conversely, people consistently put forth single-payer as a panacea without considering what other differences exist between the systems.

For example, in the US a medical residency is required by law but the number of residency slots is constrained because the AMA wants to reduce supply/competition. Change who pays the premiums and that's still just as much of a problem, and it might even make it worse to give the lobbyists an even deeper pocket to siphon money from.

Another significant source of costs in the US system is that doctors can prescribe much more expensive patented drugs or devices and no part of the system is given the incentive to say no to something which is only slightly or negligibly better but dramatically more expensive. Likewise, many of these patents are obvious (e.g. extended release version of existing drug or combination of two common existing drugs) and shouldn't be granted, but nevertheless are. But if those patents are issued and the system is required to pay for a drug when a doctor prescribes it, the seller has a monopoly for the patent term and can charge the monopoly price. The normal way to solve that is for "customers" to be more exposed to cost differences between treatment options, so that things that are only marginally better can only charge marginally higher prices, which is the opposite of how single-payer works.

"Single payer" is essentially replacing insurance companies with the government, but that doesn't solve any of the problems that exist in the parts of the system that aren't the insurance companies.

AnthonyMouse··on Nobody pays for FOSS, we can force them to
> They need to sign away their rights to their code so you can sell it.

They can't accept contributions under the AGPL, but what stops them from accepting contributions under e.g. the BSD license? Does the BSD code stop Apple from selling macOS?

AnthonyMouse··on Nobody pays for FOSS, we can force them to
> AI's ability to rewrite entire codebases is quickly killing 1

People say things like this, but can you name an instance of this actually happening? What non-trivial existing free software has been displaced in popular use by a vibe-coded alternative?

AnthonyMouse··on Nobody pays for FOSS, we can force them to
There is a pretty reliable way to do this. Which is to distribute the code under two licenses, where one of them is the AGPL and the other is a paid license.

AGPL allows you to satisfy the free software people (and the free-as-in-beer people) and correspondingly win market share and get code contributions etc., but it also scares a lot of large corporations (whether or not it should). And if their in-house bureaucrats won't let them license code under the AGPL but they still want to use it then it leaves them to pay you for the other license. Meanwhile the bureaucratic corporations are the ones with the resources to pay you anyway.

AnthonyMouse··on Android 17 is the first since 3.x to add new APIs without releasing to the AOSP
The premise is that you want to make something that competes with Safari, e.g. you want to provide a graphics API to third party developers.

Doing that in Safari doesn't work twice. First, if Safari doesn't already expose whatever GPU primitives you need to do things efficiently, you can't get them. And second, your API implementation (which is likely to be large) would then have to be distributed by anyone using it instead of being part of the browser they use for all sites, creating a >100MB dependency for a <50kB web page.

AnthonyMouse··on Android 17 is the first since 3.x to add new APIs without releasing to the AOSP
> The reason why no one runs AOSP is because the phone market rewards differentiation.

This is what empire-building middle managers say to rationalize their boondoggles, but in actual fact most customers can't even tell the difference between two different vendors' Android skins, definitely can't tell the difference before they buy one, and the way they actually differentiate phones is on real hardware differences that show up in the specs like the camera or performance.

The hardware company's idiosyncratic fork of the software is irrelevant at best and annoyingly irregular in the common case.

AnthonyMouse··on The Coming War on General Computation (2011)
> Because breaking the stranglehold that the tech megacorps currently have over devices is not going to be cheap. In the end, if users won't pay for it to happen, it won't happen.

Paying for an ad blocker and paying for a device that doesn't ban ad blockers are two different things.

> Ads vs. ad blocking is a perpetual arms race, and it will continue as long as the ad supported business model is the primary one the tech megacorps use

Which is all the more reason ordinary people should want devices that give them the advantage in the arms race, in turn helping to disadvantage that business model.

> The real solution, as the last statement suggests, is to do away with the ad supported business model. But that would require users to be willing to pay for apps that they use

It would require them to pay for the apps that aren't sustainable as open source, e.g. medical device apps or similar.

> Or, alternatively, users could simply stop buying devices that are locked down, and buy open ones instead.

Which in turn brings us back to antitrust, since the incumbent platforms are using things like attestation to make it so your bank app doesn't run on a competing device.

AnthonyMouse··on Android 17 is the first since 3.x to add new APIs without releasing to the AOSP
> Like you get a frame-buffer to draw on with something like a wasm vm. Web pages get replaced by programs (which they essentially are anyway).

The biggest thing standing in the way of this is actually Apple, since they don't allow competing browser engines or equivalent so you can't make something like this for iOS whatsoever.

AnthonyMouse··on Let's make quality the norm again
The general problem with this is that starting a business generally requires money, which for-profit companies get from investors. For a non-profit to do it they need to get it from donors, and then your actual complaint isn't that nobody is willing to start a company that works that way, it's that people (e.g. you and your friends) haven't donated enough money to make it happen.

But something that might be interesting is to start a non-profit whose mission is to create value for customers (i.e. produce non-garbage products), and then all profits go not to a separate charity but to increasing the number of product lines the company produces. Then spin the new product lines off into independent non-profits with the same charter so the organization doesn't become large and bureaucratic or suffer permanent collapse as a result of a single period of poorly chosen upper management.

AnthonyMouse··on Let's make quality the norm again
> The steelman is that by lowering the cost, more pets can afford better food than what they currently eat. No comment about whether that is reflected in the consumer facing price or in profits.

For your steelman to be relevant it would have to be reflected by lowering the price, otherwise they're just making the product worse for no customer benefit whatsoever and hoping customers take a long time to notice.

And if they were trying to offer a different value proposition by reducing the quality in order to lower the price, the honest way to do it would be to introduce a new product with a different name rather than changing what the product is while leaving the name the same.

AnthonyMouse··on The Coming War on General Computation (2011)
> Developers need full control over their own devices to develop apps. But they don't need users to have such control.

But they do need that control. Otherwise apps can't do the things they want them to do, like blocking ads in other apps, because doing those things is prohibited by the platform vendor.

> How many people would actually pay for such an app?

Why is that even relevant? The question is if someone would make that app, so that ordinary people would have access to it. And we see that this is what happens when it isn't inhibited, e.g. people create plugins like uBlock for browsers.

> But convincing them what actually is in their own interest--and that what the megacorps are trying to sell them is not--requires speaking the users' language.

At which point you're making an argument about framing rather than one about the actual thing which is necessary, i.e. for the user to not be denied control over their own device.

AnthonyMouse··on The Coming War on General Computation (2011)
> To most people, "general purpose computing" just means their computer (or more likely their phone, these days) can run any app they want it to run.

That's the same definition as the one where developers have control over their devices, because that's necessary for those apps to exist and be used even if you're not the author of them.

Consider what most phone apps these day are. The vast majority are just a front end to a web endpoint and the app itself could just as well have been a browser. Nobody actually needs those to be apps.

Meanwhile the apps people would actually want are things like "ad blocker that blocks the ads in other apps" which are precisely what the war on general purpose computing has deprived people of. Because the scummy ad-laden app approved by the platform has to be "protected" from the "untrusted" open source ad blocker.

Likewise apps that back up the data in other apps or otherwise create competition for the platform's cloud services, competing browser engines that could properly support PWAs so that the "should have been a web page" apps can actually be a web page, etc.

Megacorps that want to lead ordinary people down the garden path may convince some of them that this is "for their own good", but convincing unsophisticated people that something is in their own interest is hardly the same as that thing actually being in their own interest.

AnthonyMouse··on The EPA is planning to scrap public review rules for data center pollution
> He literally says he'll cut a check for $5,000 for every adult american if the Republicans win both the House and Senate in the midterms.

Which is exactly why it doesn't apply. The money would go to even the people who didn't vote for him.

The law you're referring to is about paying people for votes. Someone giving their own money to voters who can prove they cast a ballot in a particular way.

Saying that you're going to have taxpayer-funded transfer payments is ordinary politics. If your interpretation was right then proposing to increase social assistance programs would be vote buying in violation of that law.

AnthonyMouse··on The EPA is planning to scrap public review rules for data center pollution
You're quoting a paragraph talking about EPA air pollution permits, which are about things like NOx and particulates rather than CO2.

Moreover, those types of permits aren't a sensible way to deal with CO2 even if they were actually used for that, because you can't scrub CO2 using filters or more complete combustion methods or the like. There is nothing about the facility to inspect or approve, it's solely a matter of how much carbon is in the fuel that it burns. Which is why the only sensible way to handle it is to put a carbon price on the fuel, which has nothing to do with any particular facility.

AnthonyMouse··on Houthis 'take control' of key island in global shipping route
Your one example was plausibly the result of fog of war, and if you're going to go back to events that happened before the moon landing like that then Canada and the US were on opposite sides in the War of 1812.

Moreover, the point is that Israel is the country least likely to use nuclear weapons against the US, not that Canada is especially likely to.

AnthonyMouse··on Claude is only available to people over 18 years
Gift cards don't allow reloading which consequently makes them a significant inconvenience to use for subscriptions. It's sort of like saying you can pay for something by going to their offices and paying in cash. Okay, but then why does the way that 99.9% of people are actually going to do it have to be the one that invades their privacy and puts everything they do in a database?
AnthonyMouse··on The EPA is planning to scrap public review rules for data center pollution
That interpretation seems... odd. You seem to be implying that if your policy is to give everyone a tax credit (i.e. give them money) if you win then you're not allowed to tell anyone about it.
AnthonyMouse··on The EPA is planning to scrap public review rules for data center pollution
About the only type of pollution which is actually global is CO2, which is exactly the thing this kind of review has nothing to do with. If you want people to emit less CO2 then you price carbon and as a result everyone has that amount of incentive to prefer alternate means of generating electricity.
AnthonyMouse··on Houthis 'take control' of key island in global shipping route
If a nuclear bomb vaporized New York and you were forced to guess who did it between Israel and Canada, the better guess would be Canada and they don't even have nuclear weapons.
AnthonyMouse··on Why Bullshit Jobs Are (Finally) Dying [video]
> While eliminating bullshit jobs sounds great on its own merits, eliminating the wages for said jobs can actually clog the local engine by lowering wages, raising unemployment, slowing hiring, and curtailing growth.

If you get rid of BS jobs then you're not paying people to do them. Someone then gets the money you're not paying them, e.g. the company can now charge lower prices to customers who then have more money to spend. They then want to buy something else with the money and the people who need jobs then get jobs doing that.

In most cases this will actually increase consumption, because people buy more when things cost less and therefore provide more value for money. If the cost of a year of college goes down by $10,000 by eliminating some bloated administrative bureaucracy then more people can afford it, positions that couldn't previously find qualified applicants get filled and unemployment goes down, those positions pay better and people have more money to spend, etc.

> I suggest that instead of cutting “bullshit jobs”, we instead reduce working hours across the board (and penalize overtime)

Isn't this the exact same thing only distributing the hours differently?

You could be proposing one of two things. One is to have everyone work fewer hours doing the same thing they do now, but that one obviously doesn't work. Jobs like carpenter or trauma surgeon aren't BS jobs and if people spent fewer hours doing them then we'd have fewer of those things done, which would be bad.

The other is that instead of getting rid of BS jobs, we get rid of BS work. So we have fewer middle managers and have the people who used to do that instead do something productive, allowing the people currently doing the productive thing to work fewer hours.

The result of that would then be that everyone works fewer hours. But then they would have less money to spend. If you work for 32 hours instead of 40 at the same hourly rate then you take home less money. Getting rid of 20% of hours rather than 20% of employees would reduce total income by the same amount.

If the same thing happens and the company e.g. uses the money saved to lower prices then it's a similar scenario to getting rid of the jobs, except that now instead of production/consumption increasing because we got rid of inefficiency, people work fewer hours to get the same stuff because now they get paid for fewer hours but things also cost less. But that tends to be trouble because the prices change non-uniformly, e.g. the cost of financial services comes down because you eliminate some useless bureaucracy but you haven't done zoning reform so housing is still expensive. When jobs still pay the same amount that's fine, because a bunch of small businesses pay lower costs for payment processing or employee health insurance, lower prices by that much and then have to hire the people who lost their jobs to produce the extra stuff people buy with the surplus money. But if jobs suddenly pay 20% less, your mortgage payment hasn't changed.

Whereas if you take the original premise that people making less money would reduce consumption, e.g. that the savings would go into Evil Corp's money bin and never be spent, then you're in even more trouble in your case. Because you're deterring people from going back to the original number of hours in order to be able to afford the original level of consumption.

AnthonyMouse··on Why Bullshit Jobs Are (Finally) Dying [video]
> I always wonder if anyone else considers BS jobs societies implict UBI?

BS jobs are the anti-UBI. With a UBI you get to avoid starvation even if you refuse to take a job which is excessively dangerous or degrading or low-paying, which in turn exerts pressure on those jobs to improve conditions or pay. You get more runway to start a business instead of being forced to work for someone else because you need to make rent today rather than a year from now when your new venture is off the ground. It allows you to be actually productive by your own metrics rather than getting taken advantage of for lack of alternatives.

Whereas BS jobs create the illusion of productivity. You get to avoid starvation by digging holes and filling them back in, but now you're wasting all day doing something useless instead of spending that time starting your business or going to school, so you end up stuck in the BS job forever. Which helps neither society nor you compared to you still getting the money and then letting you choose what to do with your time.

AnthonyMouse··on Houthis 'take control' of key island in global shipping route
> But it's harmful for the average American because filling up the tank costs a lot more.

The fun part about this is that it shows what people actually care about.

What happens if petroleum prices go up? People use less. It's the entire premise of a carbon tax. Fuel costs more so people buy a hybrid or electric vehicle, power utilities find renewables or nuclear more attractive relative to natural gas, etc. In a market economy this is the primary way to get people to switch from something to alternatives -- which is pretty important if you think climate change is a problem.

This is obviously not why Trump is doing it, but it's the consequence of it anyway. So now we get to see what people care about. Do you like higher oil prices because it speeds up the transition away from fossil fuels, or dislike them because of who it is that caused it this time?

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