3,373 karma · joined July 8, 2009
The majority of decisions being made in a company are two-way doors - they can be reversed if needed without great consequence. Those decisions should be made quickly by whomever is close to the topic and everyone else should just be an inform (as a sanity check).
The only solution I can come up with to this conundrum is if the output of the AGI is provided for free to people so the value is captured directly without the intermediating commercial steps. However, there will still be friction in this process (in the form of physical inputs) so I don't see how this is a long term sustainable approach.
Good thing I don't believe in AGI so this is, at best, a philosophical debate.
The pharmaceuticals pricing is due to the factor that pharma companies believe they can charge higher prices in the US than anywhere else so the US consumer effectively subsidizes the rest of the world. I'm not sure how to solve this problem in a way that lowers prices AND maintains availability of the drugs. The obvious solution is to demand that pharma companies lower prices in the US, but (assuming they are unable to increase prices in Europe) this will just lead to some (many?) drugs not being profitable and reducing availability of drugs for all.
As for the fancier stuff, we do want to have fancier stuff. That means you get better healthcare outcomes for some pretty sick people. We should not want to cut that out. We're in trolley experiment territory when you start discussing whether it is better to have a life-saving, but expensive, procedure available but not everyone can get it because of cost or to not have the procedure available at all for anyone.
> profits be damned.
But, profits cannot be damned, at least not if you plan on being a going concern. At some point, the companies need to make a profit otherwise they go out of business and cannot provide any healthcare at all.
My point is not that UNH is a sterling example of healthcare service but to point out that the narrative justifying the public outrage is not really logically coherent or supported by evidence. If there is no public healthcare service, you will need to have private insurers. If you have private insurers, they will need to make profit. The best you can do in this situation is make sure there is competition so the profits are not out of line (which seems to be the case) and there is minimal waste in the system (jury is out on that one).
Also, public healthcare is not the panacea that it seems to be promoted as. Healthcare is expensive and at some point, limits will be placed to avoid bankrupting the system. Take a look at any number of the systems of any number of European countries and see the wait times, approvals, etc.
BTW, I support the idea of a government provided healthcare system, but I just don't think it will solve all the problems the way people seem to think it will.
The idea that the school you go to matters for your career seems unsupported by evidence (outside of consulting, law, medicine and investment banking). Most people don't go to ivy league schools (by definition). Looking around at senior leaders at most of the tech companies I have worked at, very few of them are Ivy leaguers. The Ivy League has a really great brand but the impact is overblown imho.
As for the non-executive workers, the more likely outcome is they get fired or lose benefits. This is because the company likely needs to shed costs really quickly and the biggest cost for most companies is payroll. This asymmetry of outcomes is stark and, quite frankly, sucks but the math checks out. Companies exist to create value and they will do what is needed to continue doing that. Compensation is not about fairness or putting food on the table. It is about what is required to help the company continue creating value.
The takeaway is to always have a sober assessment of your position. Take a look at the chessboard and figure out if you are a Queen or a pawn. Once you know where you stand, act accordingly.
This seems like a solvable problem. Imagine there is an age verification authority that people can use to prove their age (upload a drivers' license or something). Websites can issue a cryptographic challenge for age verification that does not include the details of the website. The user then completes the challenge at the verification authority and is issued a token (that does not include the true identity of the user) proving they meet the required criteria. This way, the users' online activity is shielded from the verification authority and the users' true identity is shielded from the website.
Of course, none of this solves the problem of having someone else log in for you but that's a different issue.
This is similar to a company blaming customers for not buying from them and preferring their competitors' products. The game doesn't work that way.
What needs to happen for GPUs to become as interchangeable as CPUs? What are the leading signs that this is becoming possible?