John Ehrlichman, Assistant to the President for Domestic Affairs under Nixon.
3,705 karma · joined March 30, 2009
jon(nospace)prins(at)gmail(dot)com
John Ehrlichman, Assistant to the President for Domestic Affairs under Nixon.
It also sounds like a number pulled from a hat.
So I went looking.
It's from a Tufts Center for the Study of Drug Development study published in 2014 [0]. Which is, incidentally, supported financially by the pharmaceutical industry [1]. Even the published pdf is pretty lacking on actual data [2]. Because it's a PR piece. This other study, from the Office of Health Economics, 2012, reported the cost as $1.5bn [3]. (OHE is funded by research grants and consultancy fees from - you guessed it - the British pharma industry). Did the cost magically increase by $1bn in the two years between the studies, or is there something fishy going on here?
One point in the Harvard study abstract was,
> The most important factor that allows manufacturers to set high drug prices is market exclusivity, protected by monopoly rights awarded upon Food and Drug Administration approval and by patents.
And that's true! But that exclusivity is an artifact of medicine-for-profit, instead of medicine-for-health.
It's interesting that all of their recommendations for lowering prices fail to take into account (at least in the abstract, as I don't have access to the full article) the single biggest difference between the only market where per capital spending is $850 and the 19 markets where per capita spending is, on average, $400: for profit healthcare and medicine.
Keep in mind that even after that astronomic cost for drug approval (the figure for which is iffy in providence), for-profit pharmaceutical companies still spend more on marketing than they do on research.
0. http://csdd.tufts.edu/news/complete_story/pr_tufts_csdd_2014...
1. http://csdd.tufts.edu/about/corporate_sponsorship
2. http://csdd.tufts.edu/files/uploads/Tufts_CSDD_briefing_on_R...
3. https://www.ohe.org/news/overview-ohe-study-cost-drug-develo...
http://www.gamasutra.com/blogs/KylePittman/20150420/241442/C...
(What you are describing did happen to me a long time ago, and it did take a long time to work my way out of it. So It's a completely valid point)
And had a trans person showed up, how would that have gone? A Latinx person? A queer couple?
Had the opposite experience moving from a suburb to a major metropolitan area.
There's a level of community here (not all communities are communities that straight white tech workers are involved with or are welcome in) that is unparalleled.
It may cause the hyper privileged to become more individualistic but for everyone else we have thriving communities with true friendships and support networks.
It's really easy for enterprise companies to get in the trap of making every customer a spacial snowflake, because they need to to get a half mil contract signed. And then the product becomes sorta shapeless, because each customer gets their own product... And you end up a consultancy instead of the platform/SaaS that you originally envisioned.
Most officers get less than six months of training.
In other countries (with much lower rates of officer involved homicides), officers receive years of training.
It is exactly perceived threat.
But they're so untrained that they perceive many things as threats that are not threats (a man with autism rocking back and forth on the ground while holding a toy firetruck, for example).
But you don't really care about that. Or any valid piece of evidence that disputes your already-formed opinion.
I used to be really against psychiatry too. Had docs in high school that didn't ask the right questions. Got misdiagnosed. Spent my 20s a shambling (semi-functional, but shambling) mess.
I'm privileged that I'm able to afford my mental healthcare team (neither of them take insurance). I wish access to quality mental health professionals was more easy to obtain. It's a double edged sword- the practice has a hard time recruiting, and health insurance is often pretty terrible for it. So many people who would benefit from a mental health provider cannot / will not get it.
I've been on psychiatrist-prescribed meds for a little over two years now. I've gotten a better job, my salary has increased by 52%, I live with less stress, I have a (mostly) tidy home, I am no longer dependent on alcohol, I care for a wonderful dog, I am cultivating healthy relationships and friendships, and I am more involved in my community.
I've also been seeing a cognitive-behavioral therapist for about three years to work through anxiety, depression, gender identity, and trauma from several childhood sexual assaults.
But maybe I don't count, because I'm not a 'guy' :) but I'm doing absolutely fucking amazing, thank you very much.
The primary reasons the school-bus commute was long was a) meandering suburbia with only 1-2 students per stop and b) a 20 mile trek on the highway at 45mph.
If I had been able to drive (or carpooled), my commute would have been less than 35 minutes.
But you know how spine-jarring school busses are. Maybe if I'd been able to complete it on a laptop instead of worksheets.
But nah, with how I was treated by folks on my bus, my laptop would've been tossed out the window the second day.
And they have yet to hit a pedestrian or decapitate a driver with a semi. Be real; Tesla's is basically a smarter cruise control. It can't actually deal with complicated scenarios.
At least in terms of fatalities per mile.
Soyuz costs $62.7m/seat. [1] Which means that 8 seats to the ISS on soyuz is actually more expensive than a shuttle launch.
I couldn't find how much non-astronaut Soyuz payloads cost.
SpaceX's Falcon 9 Full Thrust can lift almost as much payload as the Shuttle, at 22,800kg.
I'm not sure how much each Falcon 9 launch to the ISS costs. Maybe someone else can chime in?
0. https://en.wikipedia.org/wiki/Space_Shuttle_program
1. http://www.space.com/20897-nasa-russia-astronaut-launches-20...
A jet turbine generator can run at near-constant efficiency.