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1. underl+Bv1[view] [source] 2024-08-10 23:01:05
>>surpri+(OP)
They're going to eat our lunch because we let our legacy ICE vehicle manufacturers dictate the terms of the shift to electric. We have to be better about identifying economic developments that are likely to be concerns for domestic stability and national security, and not let greed and fear in the corporate class stop us from making the necessary changes. Another arena where we've already lost, in a sense, and will need to play hardball catch-up is healthcare: other countries have a more stable and hour-for-hour productive workforce because their workers can get preventative care and treatment for illnesses quickly and without a fuss. If we have to trash the medical insurance industry to reach parity with our peers, so be it.
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2. gottor+jB1[view] [source] 2024-08-11 00:35:41
>>underl+Bv1
> we let our legacy ICE vehicle manufacturers dictate the terms of the shift to electric

Is that true? There was a policy push here to sell EVs, though there of course is continuing debate about what the magnitude of that push should be. The market so far in the US has spoken against greater adoption of EVs, for various reasons.

OP's article doesn't mention or discuss two very salient factors: one, that EV use in Shanghai is massively subsidized, both at the point of sale (EVs are free to register, whereas ICE vehicle registration starts at $15k) as well as to the producers; and two, whether such a subsidy is in fact for the long-term benefit of the public.

> other countries have a more stable and hour-for-hour productive workforce because their workers can get preventative care and treatment for illnesses quickly and without a fuss

No one would argue that healthcare in the US couldn't be improved, but I disagree that the payment model is the biggest issue. The way I see it, the biggest issue by far is that people are just very, very unhealthy! A full three quarters of adults are either overweight or obese. No country can have a cost-effective healthcare system with this kind of population.

And the distribution of healthcare spending is extremely lopsided, with the top 5% of spenders accounting for over half of all healthcare expenditure, and the bottom half of spenders comprising a mere 3% of spending[0]. (A few countries with socialized healthcare are starting to toy with the idea of just letting those high spenders die, with assisted suicide.) I don't know that a better system can be achieved without first promulgating a culture that values being healthy.

[0]: https://www.healthsystemtracker.org/chart-collection/health-...

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