Are the numbers even known, I mean, how much would proper health insurance cost per person?
248 karma · joined March 13, 2017
Are the numbers even known, I mean, how much would proper health insurance cost per person?
In my view, insurance is completely compatible with capitalism. It is simply a business, based on statistics. So why should the US have a special problem with insurance?
I think that is one of the main challenges of health insurance.
In my country (Germany) I have actually shied away from switching to private insurance, because they pay doctors more, and doctors are known to do as many tests and procedures as possible (not always a good thing, but in the end it is a gamble - too many examinations/procedures or too few?).
The "public" health insurance is quite regulated as to what gets paid and how much. The downside is that doctors have to waste a lot of time on bureaucracy (every examination has to be entered into the computer to determine the costs), and transparency is still missing (patients typically don't even know how much their treatments cost). And some committee decides what procedures get paid. I don't trust committees. I trust the market (I mean I trust "in" markets, not necessarily any given market as markets can be broken by regulations, lack of transparency, all sorts of things). I have also spent a lot of money on things that weren't covered by public insurance.
One story I heard is that for example in the UK they won't pay for dialysis after a certain age. So public health insurance is not an automatic solution to every problem.
I think it is actually unavoidable that insurance will have to make a cut at some point, because medical procedures can become arbitrarily expensive. Perhaps even now for the right money, people could be kept alive indefinitely.
I would have no problem with a doctor trying to be profitable - just as with other businesses. I guess the classic assumption is that to be profitable, businesses have to provide good service.
Because otherwise I don't understand why the market can't provide good health insurance in the US? Isn't that a classic insurance problem, take a group of people and spread out the risk?
What is going on? Is medicine too expensive because of state subsidies, so private insurers can't compete? Or are there regulations preventing private insurers from entering the market?
Is it really all of a sudden? Counting communism as authoritarian (as it always ends in dictatorship), strong moves towards authoritarianism have been happening for over 100 years? I guess they have happened since the US proclamation of independence and the French Revolution, and before that the world was already authoritarian because there were churches and kings.
Perhaps US independence and French Revolution were flukes, and people (or at least rulers) craving for authoritarianism is the norm.
Perhaps it is simply the herd nature of humans that is to blame? They either want to be leaders or have a leader to look up to?
Value is another question altogether.
There are efforts under way to create contracts with formal verification, but I remain a bit skeptic. It is difficult to write complex software that way afaik.
On the other hand, a lot of contracts are maybe not very complex. I thought about a bank account recently (receive and send money). That could perhaps be done in 100 lines of code? (I don't know the programming language yet, but their basic token creation example seems to be short, and it is kind of like a bank account). That seems impressive compared to the effort banks probably spend on IT.
Although, to be fair, "classic" contracts also need that someone to enforce them. Maybe Etherium & the likes only replace one aspect of it, not the whole process. If company X publicly announces that they'll adhere to a certain contract in the blockchain, they can be held accountable for it and transactions can be completely transparent.
"Governance" and "Accountability" seem to be the antithesis to that. No, Bitcoin doesn't need that and doesn't want that.
Yes, it is a bit scary, it is a system that develops on its own, depending on the way it is being used (network effects and so on). I guess economists freak out because they are unsure about the rules, and they can't have that.
But it is also not true that it would be a huge problem if there were forks. Why would it be? People will simply use what works best for them, controlled by market forces (they need other people to use the same fork).
Who decides how Bitcoin develops? Ultimately the users do, by using it or not. Developers and miners merely provide proposals.
And why does a system need 100% agreement on everything? Such a system may well never exist.
That some companies with great effort manage to compete over the few female developers on the market doesn't prove every company could hire lots of female developers if only they changed their culture.
To be honest, personally, even if there were those hundreds of thousands of female developers supposedly driven away by bro culture, I would still maintain that people should have a right to create companies they enjoy working in. If some people want to work in T-Shirts and get drunk every night, it is their right to do so (if they can earn the money to sustain it).
Luckily not all companies are the same, so that people can apply to companies that suit their tastes.
If it weren't so, there wouldn't even be a need for hiring or job seeking to begin with. People could just apply to the next best company and be hired, likewise, companies could hire the next best applicant - because there would be no such issues as cultural fit or whatever. Not very realistic (source: I am not friends with everybody and not everybody is friends with me).
In other words, male dominated subjects don't drive women away (as in, it is not sexism they encounter in a male dominated field that makes them switch in droves).
From "Do They Stay or Do They Go? The Switching Decisions of Individuals Who Enter Gender Atypical College Majors"
Especially with respect to STEM it seems easy to check how many girls from segregated schools go into STEM vs girls from coed schools.
Edit: according to Wikipedia her daughters are 19 and 16 years old - not too late to study a STEM related subjected, are they? Michelle, if you can't make your own daughters go into STEM, what message are you sending to young women of the world?