not sure what's socialist about it. farming is a weird sector though (and a small one; crucial, of course)
>the least efficient healthcare system in the world
and the most advanced healthcare
>ineffectual public education
actually it's better than most rich countries after controlling for race/ethnicity
that said, healthcare, education, and most of all housing are massively far from free markets, they're the most regulated parts and it's hard to innovate. the more free you make those markets, the better they'll get.
>massive wealth disparity
because, and this is no exaggeration, we are way fucking wealthier than almost anything except oil-rich Norway and tiny Luxembourg. it's a lot easier to have disparity when some grasses grow tall.
>crumbling national infrastructure
depends; California and New York yes, Texas no
>and a different school shooting every week
not that often but this is an american pathology yeah
They didn't build sheds around the wells that were insulated enough so the wellheads froze up from the water in the extract, not due to crumbling infra. Now, whether they've fixed the problem, I guess we'll see the next time it hits 0°F.
> the least efficient healthcare system in the world
> the more free you make those markets, the better they'll get.
How can you concede the first point and argue the second in the same breath? Are you about to tell me European healthcare is cheaper because its some bastiom of deregulation?
European healthcare sucks. Waiting for your appointment for months is not unheard of. (I can’t compare EU and US, but my guess is the problems are largely the same, just less pronounced.)
When I wanted to get set up with a new GP, I was offered an appointment the same week. I wasn't ready to actually go in yet, so I asked for one the following week. My wife needed some specialty care, and when we made the appointment they were very apologetic that they could't give us an appointment until 2.5 weeks later. (For a non-emergency consult, preparatory to a specialty surgery.)
Meanwhile, in the US, when we tried to make GP appointments, they were routinely not available until 6-8 weeks later. And that's if it was even possible; we had 2 GPs just leave the area over the course of a few years, and in both cases we were left to find our own replacements, despite the fact that both were part of larger medical practices with at least a half-dozen GPs each (plus others).
I’m going by my own experience (Estonia) and stories by my friends (mostly Germany, the Netherlands, and the UK). Glad to hear it’s better in Ireland! I’ve also heard some good things about Poland.
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From my experience in Estonia, any specialty care routinely has month+ waiting list. One example: I was trying to get diagnosed for ADHD, and a couple clinics were ready to make an appointment for me... where I could take the test, then wait a couple months until the actual psychiatrist can see me.
Then there’s dental care. I’ve had a chat with a nice girl who had, like, really bad teeth problems. Asked why she doesn’t get it fixed, and sure enough it’s nearly impossible to get an appointment on state insurance, and paying out of pocket was way too expensive for her. (We’ve joked about getting her a Russian visa so she could just go to St. Petersburg like I’ve been doing for my dental problems; of course, that was before the full-blown Russo-Ukrainian war.)
GP and emergency care are great. One night out I’ve twisted an ankle, decided it was not a big deal, so I got home, and woke up in the morning barely able to walk. Took an Uber, got to the nearest emergency room and got an x-ray and everything in maybe a couple hours. I haven’t been on the insurance plan at the moment, so at first I was quoted around 400 €, but after some back-and-forth I’ve learned that for same day accidents the rate is lower. Told them it was at 1am, so the final price was 5 € :-)
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I don’t doubt it’s way worse in the US (never been!) My point is rather that regulation doesn’t really help here. We need to make incentives to have more affordable options, and make it easier to get to the market.
I’m now seeing a psychiatrist in Thailand for around $45 a session, and sure, everything is cheaper in Thailand, but the best part is I never have to wait more than a week to get a slot, and it’s all online. The most difficult part for me is going to Thailand every couple of months to pick up the meds.
And that’s if they even agree to pay. My wife needed heart surgery and we fought with insurance for two and a half years. I eventually had to change jobs to get a new insurance provider who would cover it.
> actually it's better than most rich countries after controlling for race/ethnicity
Our public education is so pozzed in Dem/Blue states, though; that has nothing to do with ethnic makeup in the students. Bloated budgets fueling insidious DEI agendas with openly consumer-hostile teachers unions. Maybe in sane states it's better.
> and the most advanced healthcare
We have miraculously great trauma medicine and surgery and diagnostics. The NICU medicine I've seen at work is like science fiction.
That said, I'd argue my family doctor is just a brainless expert system for prescribing toxic pharma products. There's nothing healthful about that aspect of our healthcare. The terrible US diet and these wretched drugs are why we're so sick and the trauma doctors are so busy. It's complicated why it costs a fortune and yet we're so sick.
It's about schools. Black Americans have worse education outcomes on average because of poverty, racial bias, unequal school funding and a culture where education is not as valued as with, say, Chinese Americans.
Saying this is something you need to "control for" is complete statistical nonsense. You wouldn't say "the accessibility in this building is better than average after controlling for wheelchair use".
They actually said that about education, so we are supposed to believe that eg black people are inherently less smart. I stopped reading their post before this tho :)
Well, if a European dev asked me how I could possibly know if they'd make more in a less regulated environment, I would point to American salaries.
Agree it's hard to know things and that antitrust arrangement was bad. If we're talking policy, we are implicitly accepting counterfactual reasoning (because otherwise why would we change policy).
Yep. We can go around and around. Like, does health care count for some of the discrepancy? Or the more generous time off that Europeans typically have?
I do recall some reports that concentrated on just workers that had unions in the United States versus workers in a similar field that did not have unions, and it concluded that unionized workers get paid more.
But, it was not the tech sector, so someone, maybe you, will argue it does not count.
Just very, very difficult to get to the bottom of what is the best way.
I am in the we should unionize camp. My stance is based on, the tech companies have way more leverage than you or I. They do not work in your interest. A union is imperfect but it is better than nothing to get "some" leverage back.
> letting AI do what it's good at, while constraining the overall system to follow the right practices, is like the ideal combo
What constraints? What right practices? What ideal combo? Maybe this whooshed over your head but I was sarcastically pointing out that just because you can do something doesn't mean it's a reasonable engineering practice or, uh, an "ideal combo."
The very first thing I did vibe-coding was commit my prompts and AI responses. In Cursor that's extremely easy—just 'export' a chat. I stopped for security concerns but perhaps something like that is the way.
It's hard to see how suffering gets into the bits.
The tricky thing is that it's actually also hard to say how the suffering gets into the meat, too (the human animal), which is why we can't just write it off.
This is dangerous territory we've trodden before when it was taken as accepted fact that animals and even human babies didn't truly experience pain in a way that amounted to suffering due to their inability to express or remember it. It's also an area of concern currently for some types of amnesiac and paralytic anesthesia where patients display reactions that indicate they are experiencing some degree of pain or discomfort. I'm erring on the side of caution so I never intentionally try to cause LLMs distress and I communicate with them the same way I would with a human employee and yes that includes saying please and thank you. It costs me nothing and it serves as good practice for all of my non-LLM communications and I believe it's probably better for my mental health to not communicate with anything in a way that could be seen as intentionally causing harm even if you could try to excuse it by saying "it's just a machine". We should remember that our bodies are also "just machines" composed of innumerable proteins whirring away, would we want some hypothetical intelligence with a different substrate to treat us maliciously because "it's just a bunch of proteins"?
>the least efficient healthcare system in the world
and the most advanced healthcare
>ineffectual public education
actually it's better than most rich countries after controlling for race/ethnicity
that said, healthcare, education, and most of all housing are massively far from free markets, they're the most regulated parts and it's hard to innovate. the more free you make those markets, the better they'll get.
>massive wealth disparity
because, and this is no exaggeration, we are way fucking wealthier than almost anything except oil-rich Norway and tiny Luxembourg. it's a lot easier to have disparity when some grasses grow tall.
>crumbling national infrastructure
depends; California and New York yes, Texas no
>and a different school shooting every week
not that often but this is an american pathology yeah
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