14,359 karma · joined April 23, 2013
http://congruence.io
What is the logical conclusion? How far do you take it? Should I, say, not be proud of my children's accomplishments? After all, I didn't do them, they did. I'm a musician and play in bands. Should I not be proud of things my band has accomplished? What my band does is stuff that I can't do alone, and they can't do without me.
Obsessively focusing on the individual and rejecting one's role in society is nihilistic and alienating. If you gotta do it, I suppose you do you, but please don't drag me into your sad, lonely world. I'm going to enjoy my place in my family, my town, my country, etc.
Likewise, I take great pride in the fact that we have two world-class museums, one focused entirely on modern art, and I hope the sports fans see the value in that, too.
And when the symptoms started, I wasn't going to go to the chemist to start concocting home remedies for what I feared could be a mild heart attack. I went to the ER. Again, I don't know how old you are, but I'm old enough to have had friends my own age start dropping dead of heart attacks and strokes. Hence I decided to take the safest route.
Read the Lewis and Clark diaries sometime, see how many grizzly bears they encountered, and how much they feared grizzlys. Now look and see how many are left. That's what happens to species we consider a threat.
Most of them are extinct.
And you don't need every species to play Dark Forest, either. As long as one species is playing Dark Forest, all the others learn to hide, or play themselves, or get exterminated. That's the fate of those who want to be nice.
I think cultural differences play into the read a lot, too. It's an intensely Chinese novel, and I'm pretty sure a lot of Americans find his perspectives on history jarring, and want something more "entertaining" and personal.
If I were the one making the decision, I'd change American healthcare with one big thing, modeled on the Japanese system... price controls. Japan's system is more or less like ours, but with one key difference - a government panel sets the prices for all medical goods and services. Providers and insurers have to make their profits within that price structure. This incentivizes both to reduce costs, for the sake of their own profits.
Of course, this would be called radical socialism or some such stupid in America, and Democrats aren't even talking about it (Republicans have no ideas at all on health care). But it's politically a much lower threshold than single-payer (throwing out the whole framework and starting over, basically). And it demonstrably works - Japan's system costs less than half what ours does per capita, with better outcomes.
But "laziness" is something of a trigger word for me in health care discussions, just like "greed" is. It's so easy to attribute what we see as suboptimal outcomes to malice on the part of the person acting - even passive malice like laziness.
About a dozen years ago, my doctor caught my blood pressure shooting up in my annual exam and started treating me for high blood pressure. High blood pressure is a "silent killer" that leads to premature deaths for millions. You don't feel sick, while your heart struggles and your brain risks explosions. And treating it, once diagnosed, isn't straightforward. It took six months of experimenting with various medications to find the combination that worked for me. That's a doctor's judgment and expertise, not something for some technician with a community college associate's degree. And this summer, when a critical potassium depletion drove me to a scary ER visit, she noted that one of my BP meds could affect potassium and adjusted my dosages.
And it's not just an expert-system thing that could be replaced by a robot, either. She's not just dealing with my measurements - she's dealing with my fears, and helping me decide on best approaches. That requires a human touch.
Blaming the insurance companies strikes me as the political equivalent of yelling at the cashier.
It seems to me that if the promise of a golden parachute led to CEOs simply not caring if they do well or not, then there'd be no point in paying them well or trying to hire the best. Heck, there'd be no measure of "best", because all the candidates would just have a string of disasters behind them.
There's an S curve to the utility of money. Anyone who works at the kind of level that could become the CEO of a company like Boeing is already quite rich. So money alone isn't the incentive. But thinking of money as sole incentive is kind of characteristic for those of us who actually have to work for a living.
Here's an example. I am trying to do important, interesting work, but I'm often interrupted, because I work in DevOps and wind up drawn into other people's problems. So on the whiteboard next to my desk, I wrote my two "Wildly Important Goals" (from the book Four Disciplines of Execution), and underneath that, the sentence "If something does not apply to these goals, why am I doing it?" This became quite the controversy, but it works! It has significantly reduced my interruptions. That's social skill in action.
If you can use social skills effectively, you get to decide (to some degree) what you work on. If you don't, then someone else decides what you work on. As long as you're okay with that trade, there's nothing wrong with it.