zlacker

[parent] [thread] 115 comments
1. rchaud+(OP)[view] [source] 2025-01-22 15:59:08
The US appears to be fully in the grips of centralized economic autarky. A tiny coterie of industrialists who have the President's ear decide how to allocate a gigantic amount of capital for their pet projects while the state raises tariffs and implements bans to protect them from competition.

Didn't go well for South America in the 60s and 70s but perhaps, as economists are prone to saying, "this time will be different".

replies(8): >>whimsi+w1 >>strong+D6 >>jeffy2+L6 >>boring+17 >>ahmene+Nd >>jncfhn+Yf >>briand+hv >>newscl+Ty
2. whimsi+w1[view] [source] 2025-01-22 16:09:19
>>rchaud+(OP)
this is private capital. yes, we are in an era of big projects and big capital deployment. is that synonymous with centralized autarky? i don’t agree
replies(4): >>i_love+22 >>lenerd+c2 >>rchaud+S6 >>Frustr+jb
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3. i_love+22[view] [source] [discussion] 2025-01-22 16:12:45
>>whimsi+w1
What does it have to do with Trump then? Why was he involved?
replies(3): >>umeshu+k2 >>rchaud+x7 >>JumpCr+th
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4. lenerd+c2[view] [source] [discussion] 2025-01-22 16:13:15
>>whimsi+w1
This is an amount that would be a meaningful change to most US states' gross annual economic output that we're talking about, and a few people control it. Sounds pretty centralized to me.

The fact that a handful of individuals have half a trillion dollars to throw at something that may or may not work while working people can pay the price of a decent used car each year, every year to their health insurance company only to have claims denied is insane.

replies(3): >>whimsi+S3 >>fallin+N9 >>JumpCr+3a
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5. umeshu+k2[view] [source] [discussion] 2025-01-22 16:13:49
>>i_love+22
He love the publicity and most people won't realize that he doesn't have anything to do with this.
replies(2): >>aylmao+Og >>Frustr+Pg
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6. whimsi+S3[view] [source] [discussion] 2025-01-22 16:18:46
>>lenerd+c2
Free movement of capital and the ability to identify promising projects and allocate our resources there are why our society is prosperous and why we are able to devote more resources towards healthcare than any society that has ever come before us.

This money is managed by small amounts of people but it is aggregated from millions of investors, most of these are public companies. The US spends over 10x that amount on healthcare each year.

replies(2): >>lenerd+V7 >>bbqfog+b9
7. strong+D6[view] [source] 2025-01-22 16:31:16
>>rchaud+(OP)
It will be different (and as another commentor pointed out, it probably always has been), because the adults are back it charge, thankfully.
replies(1): >>knowav+EH
8. jeffy2+L6[view] [source] 2025-01-22 16:32:22
>>rchaud+(OP)
And it never is.
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9. rchaud+S6[view] [source] [discussion] 2025-01-22 16:32:44
>>whimsi+w1
And where do you think the socialists of the 60s got hard currency to import machinery from? Borrowing from non-state lenders.
replies(2): >>whimsi+B7 >>Frustr+Lb
10. boring+17[view] [source] 2025-01-22 16:33:15
>>rchaud+(OP)
Apples to oranges comparison. The problem set is completely different regarding your doom example of South America.
replies(1): >>rchaud+5b
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11. rchaud+x7[view] [source] [discussion] 2025-01-22 16:36:05
>>i_love+22
Because $500b is not a number anybody will commit to without significant assurances regarding tax breaks, access to labour, security etc which can only be provided by the state.

Musk cannot ban Chinese autos from the US market, but the government can. Same goes for Tiktok, Zuck cannot force Americans not to use it. AI is the next battlefield and further bans will be coming down the line to make sure the investment is protected.

replies(1): >>api+j8
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12. whimsi+B7[view] [source] [discussion] 2025-01-22 16:36:37
>>rchaud+S6
borrowing from non-state lenders is neither a necessary nor sufficient condition for ‘autarky’ and your reasoning seems to just be since it happened in South America in the 60s it must be part of the economic mismanagement that occurred there.

i agree that our protectionist policies are bad and autarkic in nature

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13. lenerd+V7[view] [source] [discussion] 2025-01-22 16:39:03
>>whimsi+S3
Is that why I, and a lot of other people my age, have a lower standard of living than my parents did at the same point in their lives?

The "free movement of capital" only ever seems to move the capital one direction: up to the people who needed the labor of others to reach such wealth.

replies(2): >>whimsi+U8 >>nfw2+eD
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14. api+j8[view] [source] [discussion] 2025-01-22 16:40:53
>>rchaud+x7
Musk could also work to make Tesla more competitive with BYD in the mainstream American car market instead of making Tesla double and then triple down on a weird niche product like the Cybertruck that will never appeal to many people. Tesla had a huge lead in EV tech that they seem to be squandering by not addressing boring stuff like build quality, giving BYD plenty of time to catch up. Their whole product line is starting to look stagnant.

Keeping BYD out won't help if all the other car makers also catch up. If BYD pulls far enough ahead they could just create a US division and make cars here like Toyota and Nissan do. Nissan is on the ropes, so maybe BYD could just buy them and make that their US brand and get all their factories and supply chains.

If Tesla kept iterating on the Model 3, released the Model E, and Musk stayed out of divisive politics that alienate customers, Tesla had a chance to own the mainstream of the US auto market for the next 50 years. I'd say that's gone now.

replies(1): >>ethbr1+Qb
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15. whimsi+U8[view] [source] [discussion] 2025-01-22 16:43:35
>>lenerd+V7
The large majority of people do not have a lower standard of living than their parents at the same age. My dad’s family could not even afford shoes for him and he lived in Europe.

I am sorry that you feel you are downwardly mobile, but you should not assume your experience generalizes.

replies(1): >>lenerd+q9
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16. bbqfog+b9[view] [source] [discussion] 2025-01-22 16:45:55
>>whimsi+S3
Having to spend thousands for insurance every year (even if you’re totally healthy) and not having it even be remotely effective, is not my definition of “prosperous”.
replies(1): >>whimsi+aa
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17. lenerd+q9[view] [source] [discussion] 2025-01-22 16:47:44
>>whimsi+U8
Mine lived in America. Where the story in the article is taking place.

This is, in fact, a generalized experience: [0]

[0]https://www.pewresearch.org/social-trends/2019/02/14/millenn...

replies(2): >>JumpCr+ma >>whimsi+Ga
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18. fallin+N9[view] [source] [discussion] 2025-01-22 16:49:33
>>lenerd+c2
It's a great thing that they can throw half a trillion at something that may not work. Every great tech advancement came from throwing money at something which might not work.
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19. JumpCr+3a[view] [source] [discussion] 2025-01-22 16:50:26
>>lenerd+c2
> fact that a handful of individuals have half a trillion dollars

This is disputed [1]. In reality, a handful of individuals have the capital to seed a half-a-trillion dollar megaproject, which then entails the project to raise capital from more people.

[1] https://www.wsj.com/tech/musk-pours-cold-water-on-trump-back...

replies(2): >>ahmene+7e >>lenerd+mn
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20. whimsi+aa[view] [source] [discussion] 2025-01-22 16:51:04
>>bbqfog+b9
Individual insurers pay out tens of billions of dollars in claims every year, frequently have non-profitable years, and are the counterparty on pretty risky contracts.

There are lots of problems with our current approach to healthcare, but insurers aren’t charging you way more than the cost to counterparty on that contract should be.

replies(3): >>bbqfog+7g >>lenerd+Ph >>willci+Hn
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21. JumpCr+ma[view] [source] [discussion] 2025-01-22 16:52:10
>>lenerd+q9
> This is, in fact, a generalized experience

Your article is from 2019. We're now "wealthier than previous generations were at [our] age" [1].

[1] https://www.wsj.com/personal-finance/millennials-personal-fi...

replies(3): >>whimsi+Eb >>lenerd+Uc >>mrguyo+Ww
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22. whimsi+Ga[view] [source] [discussion] 2025-01-22 16:53:47
>>lenerd+q9
I don’t feel like having the nth argument about whether we are better off today than in 1980. Agree to disagree, i feel that the facts are obvious, especially if you subset to the population whose parents were in the US in 1980.

i think if you gave people a legitimate choice to go back to 1980 (and take their friends let’s say), we would see the revealed preference. certainly if you did it for a year and then gave them the option to come back

replies(1): >>nfw2+TD
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23. rchaud+5b[view] [source] [discussion] 2025-01-22 16:55:24
>>boring+17
How? the problem is the same: a need for rapid industrial development to grow the economy. The solutions are the same: government picks winners, which is how an upstart like OpenAI can be paired with a dinosaur like Oracle. The latter's CEO of course being a long time friend of Trump.
replies(1): >>JumpCr+8i
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24. Frustr+jb[view] [source] [discussion] 2025-01-22 16:56:11
>>whimsi+w1
Is this word being used correctly?

au·tar·ky /ˈôˌtärkē/ noun economic independence or self-sufficiency. "rural community autarchy is a Utopian dream" a country, state, or society which is economically independent. plural noun: autarkies; plural noun: autarchies

replies(2): >>maxlin+Rf >>boredh+JF
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25. whimsi+Eb[view] [source] [discussion] 2025-01-22 16:58:11
>>JumpCr+ma
it’s also turbocharged by the number of people that are descendants of immigrants
replies(1): >>JumpCr+Ic
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26. Frustr+Lb[view] [source] [discussion] 2025-01-22 16:58:47
>>rchaud+S6
Like every other country. You exchange good or services for currencies from the other countries, and then you can use that currency to buy things from anybody that would take that currency.

There is nothing saying a socialist country can't produce goods and services, and sell them.

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27. ethbr1+Qb[view] [source] [discussion] 2025-01-22 16:59:25
>>api+j8
Person who was right a few times, despite others naysaying, assumes they're right on new things, especially as they get older...

That's certainly not a thing that's ever happened before. /s

replies(1): >>api+le
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28. JumpCr+Ic[view] [source] [discussion] 2025-01-22 17:04:23
>>whimsi+Eb
> turbocharged by the number of people that are descendants of immigrants

It's divided by whether you own real estate or equities.

Immigrant homeownership is starkly lower than native-born Americans' [1].

We're probably going to see a surge in that disparity, now, given the immigrant workforce that builds and renovates houses is in the process of being gutted. That increases the value of existing stock.

[1] https://www.jchs.harvard.edu/sites/default/files/research/fi...

replies(1): >>whimsi+sd
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29. lenerd+Uc[view] [source] [discussion] 2025-01-22 17:05:16
>>JumpCr+ma
WSJ? Might as well have not included it. It's paywalled.

That being said, it seems to reference property owners. Hell, if I'd had the money to buy a house prior to the pandemic, I would have. I didn't because of constant reorgs at my employer at the time, which resulted in hiring freezes and reduced raises. The goal behind these was to make the company attractive to buyers. Eventually, they did find one: Oracle. They've since gutted what was a major employer for my region.

Since the pandemic housing has skyrocketed and pay hasn't kept up. It's been stagnant for 40 years while economic output has risen, along with COL [0].

Where'd all of the value go?

(that's a rhetorical question)

[0]https://www.consumeraffairs.com/finance/comparing-the-costs-...

replies(1): >>JumpCr+dd
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30. JumpCr+dd[view] [source] [discussion] 2025-01-22 17:06:47
>>lenerd+Uc
> it seems to reference property owners.

Yes. Millenials own property at the highest rate, age adjusted, in generations. (Anecdote: am Millenial. Own a home. Most of my friends do, too. Yes, it's a bubble, but it's a big one.)

> Where'd all of the value go?...(that's a rhetorical question)

No, it's not. It went to the people who bought houses. Including between 2019 and 2024.

Which generation's mode reached home-buying age in that interval, an interval also generously sprinkled with massive stimulus, a stock-market boom and forced consumption-reduction through stay-at-home orders? (That is a rhetorical question.)

replies(1): >>lenerd+ji
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31. whimsi+sd[view] [source] [discussion] 2025-01-22 17:07:40
>>JumpCr+Ic
exactly my point - if you were to subset to people whose parents were native-born US and compare their wealth to that of their parents at same age, it would be absolutely higher. it looks closer than it is because of immigration and we aren’t comparing to the parents in their home country
replies(1): >>s1arti+nf
32. ahmene+Nd[view] [source] 2025-01-22 17:08:43
>>rchaud+(OP)
Private capital. That detail seems to derail your whole comment.
replies(5): >>aylmao+Oe >>JumpCr+9f >>rchaud+fA >>Jumpin+LA >>hetoh+BH
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33. ahmene+7e[view] [source] [discussion] 2025-01-22 17:10:15
>>JumpCr+3a
Right as usual. This is more like a "promise" to invest a few $B and then continue to invest more and more if things go well
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34. api+le[view] [source] [discussion] 2025-01-22 17:11:13
>>ethbr1+Qb
Yeah, I am reminded of Linus Pauling thinking vitamin C cured everything.

Success is dangerous.

replies(1): >>ethbr1+Is
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35. aylmao+Oe[view] [source] [discussion] 2025-01-22 17:13:42
>>ahmene+Nd
How so? Does this capital being private ensure "this time will be different"?
replies(3): >>Parfai+We >>JumpCr+sf >>ahmene+vg
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36. Parfai+We[view] [source] [discussion] 2025-01-22 17:14:45
>>aylmao+Oe
They should be free to decide how to spend their money?
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37. JumpCr+9f[view] [source] [discussion] 2025-01-22 17:15:19
>>ahmene+Nd
Also the fact that two of the names in the headline are foreign owned. (North Korea is an autark's wet dream.)
replies(1): >>onlyre+5l
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38. s1arti+nf[view] [source] [discussion] 2025-01-22 17:16:06
>>whimsi+sd
What I find interesting is that children in of immigrants greatly outperform children of non-immigrants when compared by household income. That is to say, the have higher economic mobility intergenerational income growth.
replies(2): >>JumpCr+sg >>whimsi+xk
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39. JumpCr+sf[view] [source] [discussion] 2025-01-22 17:16:26
>>aylmao+Oe
> Does this capital being private ensure "this time will be different"?

South America didn't have a mix of domestic and foreign investors deploying massive quantities of private money into capital assets in the 60s and 70s. They had governments borrowing to fund their citizens' consumption. Massive difference on multiple levels.

replies(2): >>aylmao+3q >>nfw2+Jz
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40. maxlin+Rf[view] [source] [discussion] 2025-01-22 17:18:21
>>Frustr+jb
that's what I thought
41. jncfhn+Yf[view] [source] 2025-01-22 17:18:32
>>rchaud+(OP)
The effectiveness of policies is influenced by your starting position. South America is relatively poor. The United States is the best positioned country in the world by a long shot.
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42. bbqfog+7g[view] [source] [discussion] 2025-01-22 17:19:48
>>whimsi+aa
None of this suggests a prosperous society. More like a corrupt and bureaucratic society.
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43. JumpCr+sg[view] [source] [discussion] 2025-01-22 17:20:46
>>s1arti+nf
> immigrants greatly outperform children of non-immigrants when compared by household income

Income, not wealth. Particularly not after inheritances transfer.

replies(1): >>s1arti+Gj
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44. ahmene+vg[view] [source] [discussion] 2025-01-22 17:20:58
>>aylmao+Oe
Capital owners allocate their capital to their "pet projects" all day every day. That is how the whole thing works.

I'm not saying "this time will be different". I'm saying this is business as usual.

replies(1): >>rchaud+zi
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45. aylmao+Og[view] [source] [discussion] 2025-01-22 17:22:48
>>umeshu+k2
AI very much has to do with the state. It's an arms race between China and the USA, per many [4]. And China doesn't seem to be behind any longer [1].

It's not only Trump. Before leaving Biden already ordered the DoE and the DoD to lease sites for data centers and energy generation. The only reason we don't see a "Department of AI" or a "National AI Agency" is due to how the military industrial complex works, and a lot of lobbying I'm sure.

[1] https://www.scmp.com/tech/policy/article/3295662/beijing-mee...

[2] https://www.insideglobaltech.com/2025/01/20/biden-administra...

[3] https://www.utilitydive.com/news/biden-doe-dod-lease-sites-a...

[4] https://www.technologyreview.com/2025/01/21/1110269/there-ca...

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46. Frustr+Pg[view] [source] [discussion] 2025-01-22 17:22:56
>>umeshu+k2
Funny how he said he did this, but then right during the press conference they mention the data centers already under construction from Biden time frame.
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47. JumpCr+th[view] [source] [discussion] 2025-01-22 17:26:32
>>i_love+22
> What does it have to do with Trump then? Why was he involved?

One of the broken parts of the American system is permitting. Trump can sidestep that by letting this be built on federal land. That, in turn, unlocks investment.

Beyond that, DoD and DoE are massive buyers of compute. Seeding the venture with purchase agreements from them de-risks the project further.

Finally, by Trump putting his name to it he assigns it his bully pulpit's prestige. (Though that doesn't appear to have carried over to Musk, who's already taking pot shots at it.)

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48. lenerd+Ph[view] [source] [discussion] 2025-01-22 17:27:52
>>whimsi+aa
"Frequently have non-profitable years"

A graph of the stocks for UnitedHealth, Elevance (formerly Anthem) and Cigna shows that they're all on the growth track for the last five years.

If a subscriber pays them what they do, and they don't have money to pay a claim declared medically necessary by a medical doctor, but do have the money to forward to a retirement fund, they are charging too much.

Most of the rest of the industrialized world seems to grasp this concept, and their people live longer.

replies(2): >>JumpCr+7l >>whimsi+nn
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49. JumpCr+8i[view] [source] [discussion] 2025-01-22 17:29:40
>>rchaud+5b
> the problem is the same: a need for rapid industrial development to grow the economy

This is first-mover industrial development being funded by private actors looking out for a return on their investments. South America saw nothing similar--it was duplicating others' industrialisation with state capital (often borrowed from overseas) while spending massively on handouts.

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50. lenerd+ji[view] [source] [discussion] 2025-01-22 17:30:30
>>JumpCr+dd
"Yes. Millenials own property at the highest rate, age adjusted, in generations."

Age-adjusted?

So if you take out the fact that it took up more of the one resource that matters more than anything else to become property owners, then, yes, Millennials have more of it.

Which is kind of proving my point.

replies(1): >>JumpCr+Wi
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51. rchaud+zi[view] [source] [discussion] 2025-01-22 17:32:02
>>ahmene+vg
$500b is not business as usual for any corporation. Centralized planning doesn't fail because of government bureaucrats, it fails because there is too much spending to be decided on by too few people.

Zuckerberg lost $30bn or more trying to create a VR amusement park. Scale that up to $500bn and see how much waste and dead-weight losses are created.

replies(4): >>JumpCr+Ij >>ahmene+tk >>ahmene+Pm >>nfw2+cB
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52. JumpCr+Wi[view] [source] [discussion] 2025-01-22 17:34:23
>>lenerd+ji
> Age-adjusted?...So if you take out the fact that it took up more of the one resource that matters more than anything else to become property owners

Ask before assuming.

Age adjusted means taking each generation when they were the same age, how wealthy were they? A Boomer today is wealthier than a Millenial because they've had more time to accumulate. But when a Boomer was Millenial-aged, she had on average less wealth than a Millenial today.

replies(1): >>lenerd+sp
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53. s1arti+Gj[view] [source] [discussion] 2025-01-22 17:39:06
>>JumpCr+sg
The studies I am familiar with focus on the lowest income quintiles, where inheritance wealth transfer is less of a consideration. That said, I wouldn't be surprised if wealth transfer favored immigrants as well when families are controlled and matched for comparison.
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54. JumpCr+Ij[view] [source] [discussion] 2025-01-22 17:39:15
>>rchaud+zi
> $500b is not business as usual for any corporation

"Up to $500bn" is business as usual for Silicon Valley post-2021.

replies(1): >>ahmene+Al
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55. ahmene+tk[view] [source] [discussion] 2025-01-22 17:43:10
>>rchaud+zi
1. This isn't a single corp, it is multiple corps. For a sense of scale, MSFT alone spent ~$55B in Capex last year. Check out this[1] for a sense of how much different industries spend each year. Note that this will cross several industries including Power, Telecom, Software, electrical equip, etc.

2. There is no commitment to spend in a single year

3. There is no actual contractual commit here, this is a press release (i.e. Marketing)

4. There is not actually a $500B pile of gold being spent. This is more of a "this is how big we think this industry will be and how much we may spend to get exposure to that industry"

[1] https://pages.stern.nyu.edu/~adamodar/New_Home_Page/datafile...

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56. whimsi+xk[view] [source] [discussion] 2025-01-22 17:43:27
>>s1arti+nf
nothing about that is surprising and is exactly what you would expect when people move to places with more efficient talent markets, especially from pseudo-feudal societies that still existed in lots of the developing world in the 20th century, and that's before you get into the selection effect.

my dad was basically expected to work the farms his entire life and school ended at the 3rd grade where he grew up, he moved to the US and became a chess master & went to one of the best colleges in the country. impossible where he was from and really shows how stupid and zero-sum-minded old world elites are compared to the US/anglo culture.

replies(1): >>s1arti+kp
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57. onlyre+5l[view] [source] [discussion] 2025-01-22 17:46:19
>>JumpCr+9f
Also the fact that they're not going to invest $500B, and this is mostly a puff piece.

As Elon said, they don't the money.

Talk is cheap.

$500B is not.

replies(1): >>HPsqua+vB
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58. JumpCr+7l[view] [source] [discussion] 2025-01-22 17:46:37
>>lenerd+Ph
> graph of the stocks for UnitedHealth, Elevance (formerly Anthem) and Cigna shows that they're all on the growth track for the last five years

Stock price ! profitability, but you're still correct. UnitedHealth's operations have churned out cash each of the last four years [1], as have Cigna [2] and Elevance [3]. Underwriting gains across the industry have been strong for years [4]. The only story I can think of where American health insurers lost money was Aetna with its underpriced ACA plans [5].

That said, whimsicalism is also partly right in that insurers aren't the cause of the unaffordability of American healthcare. They by and large pay out most of their premiums. (With some variance.)

[1] https://finance.yahoo.com/quote/UNH/cash-flow/

[2] https://finance.yahoo.com/quote/CI/cash-flow/

[3] https://finance.yahoo.com/quote/ELV/cash-flow/

[4] https://content.naic.org/sites/default/files/2021-Annual-Hea...

[5] https://spia.princeton.edu/news/why-private-health-insurers-...

replies(1): >>whimsi+Kn
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59. ahmene+Al[view] [source] [discussion] 2025-01-22 17:49:21
>>JumpCr+Ij
This is the real answer. There isn't $500B.
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60. ahmene+Pm[view] [source] [discussion] 2025-01-22 17:55:12
>>rchaud+zi
Also I am not an economist but the VR failure was not dead-weight loss. If you invested in something downstream of that you profited off of Zuck's venture. Dead-weight loss is more of a gov-driven malinvestment
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61. lenerd+mn[view] [source] [discussion] 2025-01-22 17:57:15
>>JumpCr+3a
It's disputed by the guy who has a business interest in making sure his competition can't do as well, and this notice of dispute is printed in a paper that is literally named after a place where the vast majority of people have never had to do any real labor in their lives.

Also the guy disputing it is trying to regain control of an entity that he was too distracted to hold to its original mission, is on record as agreeing with the statement that Jewish people are the enemies of white people, takes copious amounts of mind-altering substances daily, has lost billions of dollars on purchasing a company that had a path to (modest) profitability, and did what could easily be seen as a Roman salute at an inauguration speech. Maybe he's not a great source of statements on objective reality, even within the AI industry.

With regard to the monetary amount, understand, once you reach a certain point, the amount of capital held by the quantity of individuals we're talking about is immaterial. Any capital they raise is usually derived from the labor of others and they operate a racket to prevent any real competition for how that capital is distributed by the labor or the customers who are the source of their actual wealth. The average Oracle employee (I know a few), for example, probably has a few more immediate things they want the surplus value of their labor to be spent on than Larry's moonshot. However, he ultimately controls the direction of that value through a shareholder system that he can manipulate more-or-less at-will through splits, buybacks, and other practices.

His customers would probably also like to pay less for what are usually barely Web 2.0 database applications. Of course, he has the capital to corner markets and shove competition out of the space.

All of this is to say when you reach this amount of money in the hands of one individual, they're more likely to regularly harm people than beat the odds on their next bet in a way that actually uplifts society, at least in a way that could beat the way just disbursing that capital among those who created it could.

replies(3): >>JumpCr+Ho >>tansey+cy >>blacke+eq1
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62. whimsi+nn[view] [source] [discussion] 2025-01-22 17:57:15
>>lenerd+Ph
I was referring to insurance writ large, but yes it's true recently health insurers have been profitable - but not massively, more like 3-4% average margins. [0]

> If a subscriber pays them what they do, and they don't have money to pay a claim declared medically necessary by a medical doctor, but do have the money to forward to a retirement fund, they are charging too much.

If it is only legal to lose money on providing insurance, nobody would do it.

> Most of the rest of the industrialized world seems to grasp this concept, and their people live longer.

I agree that there are problems with cost/performance in our healthcare market. I think it is largely due to overutilization & misallocation, combined with some poor genetic/cultural luck around opioids and obesity.

0: https://content.naic.org/sites/default/files/industry-analys...

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63. willci+Hn[view] [source] [discussion] 2025-01-22 17:58:41
>>whimsi+aa
The United States spends more per capita on socialized medicine than any other nation on earth[0]. US socialized medicine spending per capita is more than any other nation spends total between both public and private in fact, it just fails to provide it to anyone but the very poor, very sick and elderly.

You'd think the healthy working population wouldn't be that much of a burden to care for as well, but they have to go out of pocket and get insurance to provide for themselves after providing for everyone else.

There is a lot of graft going on for this to be the case. It may not be the fault of insurance companies but someone is stealing a great deal of money from the American people.

Now here's the million dollar question; are you aware of this obvious fact? Have you ever heard someone frame the socialized medicine debate in this way: "If we could be as efficient as the UK we could give you free healthcare AND cut your taxes!". If not, why not?

[0]https://www.statista.com/statistics/283221/per-capita-health...

replies(1): >>whimsi+Go
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64. whimsi+Kn[view] [source] [discussion] 2025-01-22 17:58:59
>>JumpCr+7l
Yes, if we subset to health insurance over recent years, they are profitable (not massive margins) - agreed. I was overstating the case.
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65. whimsi+Go[view] [source] [discussion] 2025-01-22 18:03:12
>>willci+Hn
graft but also overutilization/misallocation, ie. we will publicly spend massive portions of our GDP treating old people who are slowly dying but little on younger people who have some crippling illness, mostly because older people vote and triage is an uncomfortable concept to people
replies(1): >>willci+Zp
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66. JumpCr+Ho[view] [source] [discussion] 2025-01-22 18:03:20
>>lenerd+mn
> disputed by the guy who has a business interest in making sure his competition can't do as well

This is a valid conflict of interest. That means we should closely scrutinize his claims. From what I can tell, he's added up correctly in respect of the named backers' wealth and liquidity.

> a paper that is literally named after a place where the vast majority of people have never had to do any real labor in their lives

Yes, we should ignore bankers when it comes to questions about money...

Do you have an actual claim? Or is it all ad hominem?

> capital they raise is usually derived from the labor of others and they operate a racket to prevent any real competition for how that capital is distributed by the labor or the customers who are the source of their actual wealth

They're capitalists, herego they can raise unlimited wealth?

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67. s1arti+kp[view] [source] [discussion] 2025-01-22 18:05:52
>>whimsi+xk
Expectations depend on your priors. You and I might agree on those.
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68. lenerd+sp[view] [source] [discussion] 2025-01-22 18:06:30
>>JumpCr+Wi
Wealth is the preponderance of resources.

If you have more wealth, you can theoretically purchase more goods and services than if you had less.

The exception to this, of course, is if the goods and services cost more, and for things that you need to exist in American society (healthcare, education, transportation, housing, food), those things generally cost several times more for younger people than they did, "age-adjusted", when their parents were the same age, often with a difference that is more than that in wealth. That's why wages have been flat.

There's also the question of how that wealth is distributed among the generations and how it's stored. If the property-owning Millennial owns a few rental properties that their peers have to pay to live in, the "average" properties owned by the group can be the same (or even higher) but the number of people those properties are spread among is lower.

There's also the fact that lots of wealth is held in the casin... er... stock markets as people need to participate in those markets with their 401(k)s to be able to retire some day. You can't sleep in a stock certificate, but if you want to have any savings, it's easier to enter the equities market than it is to get into real estate from a startup cost perspective. People are having to compromise the "stability" of their fundamental needs (like housing) in order to grow more abstract definitions of wealth.

replies(1): >>JumpCr+dq
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69. willci+Zp[view] [source] [discussion] 2025-01-22 18:08:57
>>whimsi+Go
Every other nation on earth somehow finds a way to deal with that. Given the US is 48th in life expectancy[0] behind all these other nations that spend much less, that explanation doesn't seem to hold much water.

[0]https://www.worldometers.info/demographics/life-expectancy/

replies(1): >>whimsi+Dq
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70. aylmao+3q[view] [source] [discussion] 2025-01-22 18:09:09
>>JumpCr+sf
> They had governments borrowing to fund their citizens' consumption.

The problem here being that it was money spent that was never earned back, and money that eventually had to be paid back, right?

This can also happen with private capital. 2008 was a bust caused by private banks, for example. AI hasn't proven to be profitable yet [1], and I'm not sure it'll makes a difference, for the success of projects like this, wether the money is coming from government or not.

In fact, if the 2008 bank bail-out, auto industry bail-out, the Silicon Valley bank prop-up, and other such actions by the US government are considered [2], if this turns out to be a bubble it will be taxpayers who end up fronting the bill.

[1] https://www.cbc.ca/news/business/ai-generative-business-mone...

[2] https://www.investopedia.com/articles/economics/08/governmen...

replies(2): >>JumpCr+Qq >>abduhl+Mx
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71. JumpCr+dq[view] [source] [discussion] 2025-01-22 18:09:48
>>lenerd+sp
> exception to this, of course, is if the goods and services cost more, and for things that you need to exist in American society

Which is why these figures have been inflation adjusted.

> lots of wealth is held in the casin... er... stock markets

Pretty sure Boomers hold more stocks than Millenials. This is an argument for Millenials being even better off than the statistics show.

> People are having to compromise the "stability" of their fundamental needs (like housing) in order to grow more abstract definitions of wealth

Yes. But that doesn't broadly describe Millenials, and it describes more people in older generations when they were present Millenials' ages.

You're trying to argue against facts with philosophy.

replies(1): >>lenerd+JG
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72. whimsi+Dq[view] [source] [discussion] 2025-01-22 18:12:46
>>willci+Zp
> Every other nation on earth somehow finds a way to deal with that.

well not every other nation, but i know what you mean.

other nations are much better at managing overutilization by denying care where it is not needed. the US insurance system shields people from cost and encourages overutilization due to a number of stupid policy choices (aka refusal to have 'death panels' like in Canada/UK but also refusal to do away with massive publicly subsidy for health expenditure).

for a personal story, my parents basically get free MRIs from the state for little reason whereas people I know have to pay an arm and a leg for MRIs because their insurance is worse. at minimum, we could at least also make my parents have to pay an arm and leg for useless MRIs and doctors would stop encouraging them or lose patients.

replies(1): >>willci+Cr
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73. JumpCr+Qq[view] [source] [discussion] 2025-01-22 18:13:26
>>aylmao+3q
> problem here being that it was money spent that was never earned back, and money that eventually had to be paid back, right?

In part. It was money borrowed by the state. That means when it can't be paid back, it's automatically a systemic issue. And it was money borrowed to fund consumption. There was no good reason to ever expect it to be paid back because it wasn't funding productive activity.

> if this turns out to be a bubble it will be taxpayers who end up fronting the bill

Very possibly, particularly if part of the package are e.g. federally-subsidised loans. Before that, however, private parties will almost certainly lose tens if not hundreds of billions of dollars. That cushion, together with those parties being spread between domestic and foreign sources, is what makes this less risky to the United States than similar relative-magnitude projects in South America. (Plus the fact that this is a capital asset versus consumption.)

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74. willci+Cr[view] [source] [discussion] 2025-01-22 18:18:39
>>whimsi+Dq
MRIs only cost that much in the US[0](2015 prices: $1,145 in America and $138 in Switzerland), everything is inexplicably ten fold more expensive here. That more expensive care doesn't result in ten fold better outcomes as all the health measures you can find indicate. That's the root of the problem and the thing is no politician[1] is really willing to address it and they don't really cover it clearly on the news[2], I wonder why?

[0]https://www.vox.com/2014/9/4/6104533/the-125-percent-solutio...

[1]https://www.opensecrets.org/federal-lobbying/industries/summ...

[2]https://www.fiercepharma.com/marketing/hey-big-spenders-phar...

replies(2): >>s1arti+iu >>whimsi+ku
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75. ethbr1+Is[view] [source] [discussion] 2025-01-22 18:25:55
>>api+le
A combination of ego (luck had no part in my previous success) and over reliance on a limited historical sample (last time everyone said I was wrong too, and I was right).

But even the smartest people still get it wrong on occasion.

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76. s1arti+iu[view] [source] [discussion] 2025-01-22 18:35:05
>>willci+Cr
Correct, you have identified the problem. Prices are high because there is no agent in the US system looking to allocate spending on the basis of cost and health returns. The closest we come is the much hated insurance denials.
replies(2): >>whimsi+pu >>willci+Lz
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77. whimsi+ku[view] [source] [discussion] 2025-01-22 18:35:10
>>willci+Cr
the overutilization story is what explains this, you cannot simply walk into Switzerland and say "I want an MRI here is my $138", but that is essentially what you can do (delta a bit of doctor shopping) in the US. there also is a lot of bad price transparency in the US so the listed price is not the price ended up paying, again this is due to the problem I identified above about shielding costs.
replies(1): >>mrguyo+my
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78. whimsi+pu[view] [source] [discussion] 2025-01-22 18:35:42
>>s1arti+iu
yes, precisely my point
79. briand+hv[view] [source] 2025-01-22 18:41:08
>>rchaud+(OP)
Tariffs are a negotiating tactic. Read Art of the Deal and that outlines how Trump negotiates.
replies(1): >>rchaud+Ez
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80. mrguyo+Ww[view] [source] [discussion] 2025-01-22 18:51:09
>>JumpCr+ma
You keep posting articles from WSJ as if we should take Bezo's literal mouthpiece as a reliable source.

edit: Bezos doesn't own the WSJ. I'm wrong.

replies(1): >>magica+3y
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81. abduhl+Mx[view] [source] [discussion] 2025-01-22 18:54:59
>>aylmao+3q
>> In fact, if the 2008 bank bail-out, auto industry bail-out, the Silicon Valley bank prop-up, and other such actions by the US government are considered [2], if this turns out to be a bubble it will be taxpayers who end up fronting the bill.

Haven’t all three examples you note (2008 crash, auto bailout, and SV prop up) resulted in a net return/gain for the taxpayer?

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82. magica+3y[view] [source] [discussion] 2025-01-22 18:57:05
>>mrguyo+Ww
Rupert Murdoch (Bezos owns the Washington Post)
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83. tansey+cy[view] [source] [discussion] 2025-01-22 18:57:45
>>lenerd+mn
>> takes copious amounts of mind-altering substances daily

Hyperbole much?

replies(1): >>lenerd+9H
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84. mrguyo+my[view] [source] [discussion] 2025-01-22 18:58:41
>>whimsi+ku
When's the last time you tried that here in the US?

It's like when people claim that other countries have worse medical systems because they have to wait, as if my friend didn't just wait 2 months for a simple injection recently, and my mom isn't waiting 2 weeks for an MRI after a stroke.

The vast majority of people who insist we have the greatest healthcare don't even go to the doctor's regularly. Because they were raised in a system where going to the doctor is something you have to weigh the cost of! We have worse medical outcomes simply because people wait until a cheap situation turns into a shitty and painful and expensive situation.

replies(2): >>s1arti+3O >>whimsi+zh1
85. newscl+Ty[view] [source] 2025-01-22 19:03:36
>>rchaud+(OP)
Compared to China?
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86. rchaud+Ez[view] [source] [discussion] 2025-01-22 19:10:45
>>briand+hv
So is being delinquent on debts apparently.
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87. nfw2+Jz[view] [source] [discussion] 2025-01-22 19:11:14
>>JumpCr+sf
Moreover, if a government is funneling taxpayer money into the projects of a few citizens, that is a clear red flag of corruption. Whereas if private entities are deciding to invest their own capital into infrastructure, it's unclear what the complaint even is
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88. willci+Lz[view] [source] [discussion] 2025-01-22 19:11:24
>>s1arti+iu
Its likely true that more procedures are performed and more prescriptions written, but why are those procedures and prescriptions many times more expensive?

Economies of scale should make them cheaper. An MRI machine and technician that sits there unused half the day has to charge more per visit than one used all day long. Have too many customers? Get more machines and techs, now the MRI manufacturer is making more units, offering volume discounts...

Rationing of care doesn't explain why the individual units of care are themselves much more expensive. Compare inhaler prices in Canada vs the US, $10 in Canada $100 here[0], that isn't because too many of them are given out. It's theft.

Addendum: Further, the young and healthy ration their care quite a bit under the current system, they are taxed too heavily (to pay for the care of the elderly) to afford it for themselves so they go without.

[0]https://www.usnews.com/news/healthiest-communities/articles/...

replies(2): >>s1arti+PC >>whimsi+Rh1
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89. rchaud+fA[view] [source] [discussion] 2025-01-22 19:14:03
>>ahmene+Nd
> “I think this will be the most important project of this era,” Altman said on Tuesday. “We wouldn’t be able to do this without you, Mr. President.”

Since when does "private capital" speak in such honeyed tones to state powers?

https://www.cnn.com/2025/01/21/tech/openai-oracle-softbank-t...

replies(2): >>groby_+jE >>amazin+lE
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90. Jumpin+LA[view] [source] [discussion] 2025-01-22 19:16:51
>>ahmene+Nd
> > Private capital

Groupthink capital, directed by mostly 2 "thought leaders".

Economies don't like Groupthink Capital, regardless of it being private, public or a combination of the 2

Of course the US economy as a whole is huge so even billions can be absorbed, once you start talking about half a trillion though...

replies(1): >>rchaud+tQ
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91. nfw2+cB[view] [source] [discussion] 2025-01-22 19:19:17
>>rchaud+zi
The VR investment was a calculated risk that may or may not pay off in a longer time horizon. Meta is the leading VR company and well-positioned to benefit the most from whatever comes from the industry in the future.

The demand for more AI compute is already here and is less risky of an investment.

"Centralized planning" was effective under Bell Labs

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92. HPsqua+vB[view] [source] [discussion] 2025-01-22 19:21:35
>>onlyre+5l
$500B may be a lot, but at the national level it's not that much if you spread over a few years. Even now, it's "only" 1 week worth of US GDP. It depends how much they expect to get back.
replies(1): >>onlyre+hF
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93. s1arti+PC[view] [source] [discussion] 2025-01-22 19:29:02
>>willci+Lz
Why charge $138 when your customers will pay $1,145 and keep coming back?

you need someone willing shop and pick the cheaper options for competition to bring down prices. You also need someone willing to say "that's too expensive, I wont buy it" and walk away. Same is true for the inhalers. If someone will pay $100 before switching to the generic, that is what they get charged. In Canada, the state is only willing to pay $10, so that is the price. This is the demand side of the problem.

There is also a supply problem, where the state provides medical company monopolies through "certification of need". It is basically illegal to open an MRI clinic that would compete with an existing one in many jurisdictions.

https://radiologybusiness.com/topics/medical-imaging/magneti...

replies(2): >>willci+l51 >>dboreh+PA1
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94. nfw2+eD[view] [source] [discussion] 2025-01-22 19:30:49
>>lenerd+V7
The reason young people often have a lower standard of living is because:

- there is a shortage of housing

- predatory loans for higher education

- chronic health crisis due to terrible government health policy and guidelines

- globalization has led to an international labor market

The last point may be bad for many Americans but an unequivocal good for the world. Global poverty has seen an incredible drop in the past 70 years. https://en.wikipedia.org/wiki/Extreme_poverty#/media/File:Wo...

replies(1): >>s1arti+xN
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95. nfw2+TD[view] [source] [discussion] 2025-01-22 19:34:34
>>whimsi+Ga
case-in-point, my mom was effectively cured of a cancer in 2024 that they wouldn't have even tried to treat in 1980
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96. groby_+jE[view] [source] [discussion] 2025-01-22 19:37:24
>>rchaud+fA
When you want to suck up, you want to suck up.

It's private money. CEOs will say whatever they need to say to achieve goals (here, favorable conditions for AI work), look at what the actual money flows say.

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97. amazin+lE[view] [source] [discussion] 2025-01-22 19:37:42
>>rchaud+fA
There's more to support than money.
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98. onlyre+hF[view] [source] [discussion] 2025-01-22 19:42:44
>>HPsqua+vB
This isn't national funding.

$500B is a lot - no matter how you slice it.

It's a lot easier to talk pie in the sky than to actually get $500B to spend.

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99. boredh+JF[view] [source] [discussion] 2025-01-22 19:46:16
>>Frustr+jb
But which word did he mean instead? It seems it should a synonym for "coterie".
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100. lenerd+JG[view] [source] [discussion] 2025-01-22 19:51:49
>>JumpCr+dq
> You're trying to argue against facts with philosophy.

It is a fact that wages have remained stagnant for four decades.

It's also a fact that the wealth gap is growing between rich and poor, and that's what's distorting the figures you're citing. That's the only way, mathematically, you see wages remain flat while seeing wealth rise.

Look deeper at your facts, instead of letting them be tainted by your philosophy.

replies(1): >>JumpCr+QH
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101. lenerd+9H[view] [source] [discussion] 2025-01-22 19:54:49
>>tansey+cy
Not hyperbole at all [0]

[0]: https://www.yahoo.com/news/elon-musks-drug-becoming-problem-...

replies(1): >>tansey+Rrd
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102. hetoh+BH[view] [source] [discussion] 2025-01-22 19:57:23
>>ahmene+Nd
Bookmark this - This private capital will eventually backed by Govt guarantees on the loan banks gives. Which will socialize the loss and privatize profit...
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103. knowav+EH[view] [source] [discussion] 2025-01-22 19:57:33
>>strong+D6
Tariffs, mass deportations, rescinding anything the predecessor did because of your personal egotism. None of these are the behavior of adults, and you know better.
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104. JumpCr+QH[view] [source] [discussion] 2025-01-22 19:58:57
>>lenerd+JG
> wages have remained stagnant for four decades…It's also a fact that the wealth gap is growing between rich and poor

First is sort of correct for a very specific slice of America, those just above the welfare cut off. (For whom real wages have been flat to negative, assuming we scale up housing preferences and add in costs that didn’t make sense before, e.g. internet and cell-phone bills.) The second—about rising inequality—is true throughout.

Neither advances your argument, however—one can better off while others are much better off, and most in a population can be better off while some are worse off. (Observe the median Millenial and the statistics stand. Millenials are rich, in part because we’re going to stick Gen Alpha with the bill.)

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105. s1arti+xN[view] [source] [discussion] 2025-01-22 20:37:07
>>nfw2+eD
Interesting that you put the chronic health crisis on a failure of government.

I would put that more on a failure of culture to value healthy living and activity. I wouldn't call that the responsibility of the government. Perhaps lack of clarity on ownership is related to the crisis itself.

replies(1): >>nfw2+GT
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106. s1arti+3O[view] [source] [discussion] 2025-01-22 20:40:07
>>mrguyo+my
What country has more doctor visits?
replies(1): >>Kbelic+bs2
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107. rchaud+tQ[view] [source] [discussion] 2025-01-22 20:55:27
>>Jumpin+LA
Not to mention justifying further tax cuts for this tiny sliver of billionnaires so they can continue to "take risks to innovate".
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108. nfw2+GT[view] [source] [discussion] 2025-01-22 21:15:13
>>s1arti+xN
It's not solely the fault of government, but heavy corn subsidies and the food pyramid travesty didn't help.
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109. willci+l51[view] [source] [discussion] 2025-01-22 22:44:37
>>s1arti+PC
> you need someone willing shop and pick the cheaper options for competition to bring down prices

You think consumers wouldn't do that if they were able to do so? You call the facility and everyone says the price is "it depends". They decide what they are going to charge you after you have left. Is any other industry allowed to do that? Hire someone to paint your house and he comes up with the price after he is done?

> There is also a supply problem, where the state provides medical company monopolies through "certification of need"

I'm well aware of this. Isn't it interesting that the people who give some of the largest campaign contributions have these sort of laws carved out for them? Charge whatever you want, decide the price in a opaque manner after the fact, competitors aren't allowed to establish themselves without their permission, importing drugs from other countries is forbidden. The list goes on and on.

Then you would think, if there is this much rampant and obvious corruption the fourth estate would step in right? Oh, they receive billions a year to advertise prescription drugs. Advertisement that can't be that effective, sometimes for pretty rare conditions, things your doctor should be made aware of but really odd to tell people about in a massive ad campaign.

The mainstream media and both parties are paid handsomely to allow this to continue. The problem isn't people are fat, or death panels or any of the distractions. The debate isn't about socialized medicine vs private. It's not about "keeping your doctor". There is just massive corruption to the tune of trillions of dollars in the past decade. There needs to be criminal investigations.

replies(1): >>s1arti+Zf1
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110. s1arti+Zf1[view] [source] [discussion] 2025-01-23 00:09:36
>>willci+l51
It seems like we agree on the many problems with the current system.

I agree that no matter if we go to a more private or socialized system, a whole system of broken regulation needs to be removed, and this will be the main point of resistance from those who benefit from the status quo.

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111. whimsi+zh1[view] [source] [discussion] 2025-01-23 00:24:41
>>mrguyo+my
i don't think we disagree that much to be honest. i just think that a lot of the issues you are identifying (like long wait time for critical care) are due to price insensitivity due to insurance & overutilization. ie. every MRI my parents have is one that contributes to inflexibility in scheduling for truly urgent cases and also raises the price for those urgent cases.

human intensive things like medical care are characterized by diseconomies to scale when viewed from the whole industry perspective and baumol cost disease. overutilization makes the problem much worse

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112. whimsi+Rh1[view] [source] [discussion] 2025-01-23 00:27:10
>>willci+Lz
it is generally not true that more demand causes things to be cheaper, economies of scale generally doesn't function for a whole industry but rather an individual firm
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113. blacke+eq1[view] [source] [discussion] 2025-01-23 01:30:59
>>lenerd+mn
Masa named who the partners are. You can search for financial numbers relating to soft bank and other firms who are involved and guess how much capital they can realistically deploy this year. They are claiming they will put 100 billion to work this year and all 500 billion before this administration ends. I am skeptical.

Given that all of the capital and implementation is private anyways, I am not even sure why this was announced with Trump on stage. To me it seemed like a spectacle to help Trump in return for maybe favorable regulation on things like antitrust or copyright or AI regulation or whatever.

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114. dboreh+PA1[view] [source] [discussion] 2025-01-23 03:10:43
>>s1arti+PC
Greatest country in the world though amirite?
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115. Kbelic+bs2[view] [source] [discussion] 2025-01-23 13:04:15
>>s1arti+3O
I went to check and apparently South Koreans have the most visits and there are 20+ countries that have more than US.
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116. tansey+Rrd[view] [source] [discussion] 2025-01-27 21:29:48
>>lenerd+9H
The only place the word "DAILY" occurs on the page you linked is where there is mention of a "DAILY CROSSWORD PUZZLE". The word "COPIOUS" is not found anywhere in the article. This is why I believe you clearly were being quite hyperbolic.
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