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Comment Re:You know what... (Score 1) 319

A big reason why health care is more expensive in the USA than in other nations is because the USA has a for-profit healthcare model.

This claim doesn't hold up to scrutiny.

- "Increasing shareholder value" (read: funneling as much money as possible from sick people to Wall Street investment bros)

You need to actually look at the data here. Much of US healthcare is non-profit, at least on the provider side, and the for-profit provider institutions don't make that much money. People naturally then assume it's the insurance companies that are making out like bandits, except they're all publicly-traded so we can see exactly what their profit margins are and they don't remotely explain the high cost of healthcare. At worst, the for-profit model adds 5%, and there's no real reason to expect it to add even that. In most industries, for-profit is more efficient than non-profit, because it turns out that the competitive drive for profits drives costs down.

Huge salaries for CEOs of healthcare and pharmaceutical companies

Again, look at actual numbers. What you'll find is that this explains basically nothing. Yeah, they have high salaries; take those and spread them across the patient base and you're talking about maybe 0.001% of healthcare costs -- and then only if you assume that these high salaries represent a pure loss, that an administrator getting paid a tiny fraction of that would the job just as well. If you assume that at least part of those high salaries are payment for services rendered, then the CEO salary overhead is even smaller.

24/7 TV advertising of questionable drugs to people who aren't even remotely qualified to determine if they are appropriate or not

Again, the pharmaceuticals are publicly-traded and they break out what they spend on advertising. Is is a lot in absolute terms? Yes. Is it a lot relative to the total amount of money we're talking about? No.

I'll stop here, but the same applies to everything else you mention. Yes, there is some waste due to the for-profit model, but it actually isn't that big. Our drug costs are high because we fund most of the research, because we can afford to. If we found a way to stop doing that, a lot of drug research would stop. Whether you think that's a good thing or a bad thing is something you have to decide. Personally, I think we get a lot of value for that money.

It feels like you should be able to point to just one thing and say "That's why healthcare is expensive in the US!" but you can't, really. The root cause is actually a lot of different things, and most of them have their roots in regulation (and, specifically, the way in which we regulate), rather than in a for-profit model.

If you want to make US healthcare both very cheap and very good, but only for those who can afford it, you should do the hard-eyed libertarian thing and go full-on for-profit, including removing the legal requirements that doctors treat people who can't pay, and eliminating Medicaid and Medicare and all of the complexity and cost they add. Also, make competition nationwide -- make provider and insurer licensing federal so states can't impose different requirements, and set up nationwide medical and nursing licensure processes that eliminate the ability of the AMA to artificially restrict supply. Quality would go up and competition would drive cost down for probably 70% of Americans. The other 30%, however, would be screwed, hard. Well, maybe 20%, or 15%, because prices would come down, making healthcare more affordable for everyone but free for no one.

But because we as a society will not leave the poor completely without care (not even free ER visits), the libertarian pure-market approach won't work. So, instead, we should go the other way and offer a national single payer option. This would not make healthcare cheaper by itself, but it would enable regulatory pressure to begin chipping away at all of the many sources of high prices. It wouldn't ultimately make healthcare as efficient, cheap or good as a pure market-based approach, and likely wouldn't make it as cheap as what other countries pay, but it's the best we're likely to actually achieve.

Comment Re:You know what... (Score 1) 319

The post I replied to was suggesting he should have a medical degree.

Look, this isn't complicated.

1. If you're going to claim you know what people should do to be healthy, you should have both formal education and experience in the space.

2. If you're going to be an administrator over a health organization, formal education and experience in healthcare are a very good idea, but what you really need is to know how to be a good administrator.

RFK Jr. wants and claims to be able to do #1, but lacks the knowledge, skills or experience to do so.

If RFK Jr. wanted and claimed to be able to do #2, that would be fine. He's maybe a little out of his depth in such a large and important organization, but if he could bury his ego and work hard at it, he could probably do it reasonably well. But the overriding requirement to do it well is to listen to his subordinates, who are experts in the field, while he's a lawyer with no medical or scientific training. But obviously he won't do that, because he thinks he does know better than the experts, i.e. he is trying do do #1, which he isn't qualified to do.

Comment Re:I don't know of anyone buying an EV ! (Score 1) 169

There's that word again. 'IF'. Buy an ICE and you don't need to worry abut any of that. Where I am we have multi-day outages all the time, but gas stations are spread out across grids, there is one with a generator.. Gas always has to be available or society starts to break down.

Yeah, but then you have to drive an ICE, which sucks. Slow, noisy and smelly.

Comment Re:Curious... (Score 1) 79

I just said wifi 6 because that's what all the stuff on their website was. That's what struck me as weirdly unambitious for someone who is pushing a wiring standard capable of substantially more.

I don't write marketing copy; but if I were emphasizing the superiority of fiber I would have bulked out the list of models with at least a few blatantly 10Gb or higher options; rather than a bunch of random undemanding APs.

Comment Curious... (Score 2) 79

What seems very odd about the page of Huawei fiber-to-the-room products is how unambitious they are.

Sure, if you want to do ethernet at nontrivial distances or above 10Gb fiber is where it's at; but why are you selling fiber as the glorious enabling technology for a bunch of wifi 6 APs that will be lucky to actually need 2.5GbE; with 'power over fiber' cabling which presumably means pulling a bunch of copper anyway and is significantly length-limited?

There are, absolutely, circumstances where having fiber runs would be invaluable; it just seems like "a wifi AP in every room so the signal doesn't suck!" is basically the least fiber-relevant use case going.

Comment Oh really? (Score 1) 27

Aside from the usual caveats about being 'on the cusp of', rather than having actually delivered; how revolutionary would '100 deepseeks' be?

I enjoyed watching Altman squirm at least as much as anyone, possibly more; but that didn't change the fact that deepseek developed an unexpectedly cheap way to do something that, so far, an entire industry is busy losing money on because the reality has had a desperately bad time living up to the hype.

If some of these 'deepseeks' end up delivering on things that matter more that could be an item of some interest; but if it's all doing questionably useful things somewhat more cheaply than the VC whisperers it should be hilarious to watch but not desperately relevant.

Comment Re:I don't know of anyone buying an EV ! (Score 1) 169

True, but if the EVs have decent range (say, 300 miles), a reasonable commute (say, 40 miles) and there's a fast charger in the area, it's easy enough to make sure you never get into a situation where an overnight power outage will keep you from getting to work. Just hit the fast charger whenever you're out and about and your remaining range has dropped below 100 miles, just long enough to get it back above 100 miles, which will only take 2-3 minutes This won't happen often for most people, less often than they have to visit a gas station now.

If there's a multi-day outage this becomes more problematic, but we're well outside of what's common now.

Comment Re:I don't know of anyone buying an EV ! (Score 1) 169

L1 charging even works fine for a lot of people, especially if there's an L3 fast charger in the area for occasional use. If your car is home 12 hours per day, on average, you can put in 50 miles of range per day with an ordinary 120V 15A outlet. That's 350 miles per week, which exceeds the 280 miles per week the average American drives. A sequence of heavier-than-average driving days could leave your battery low, which is why it's helpful to have access to a fast charger, though it won't normally be needed.

If you can also plug in at work (e.g. if you WFH)... L1 becomes all you actually need.

This was less true a few years ago when EV batteries were smaller. I got an L2 charger because I was driving a Nissan Leaf with only ~80 miles of range, which means it had little to no buffer to handle extra errands or whatever. If I wanted to go out to dinner after work I needed significant range added in the 2-3 hours between getting home and going out, but if your car has 300+ miles of range, that's not an issue.

Comment Re:So the problem with that (Score 1) 159

Is that as a business which you really want is much much higher turnover than that. You want to get your customers in and then get them out after they've giving you money.

That just means you need to change your business model to one where the longer people stay, the more they spend. In the case of services around EV chargers, the sweet spot is about 30 minutes. You want to structure your offerings so that it takes a half hour to consume most of your amenities. Have a few extra options for people who might stay longer, but 30 minutes is the target.

So, what do you offer people who are traveling (other than fuel)? Bathrooms, obviously, but that only takes five minutes and you can't charge any money for it (not in the US, anyway; people expect bathrooms to be free for paying customers). If you're selling them gasoline, there's not much time left after the bathroom break, so you offer them snacks and sodas. If you're selling them electricity, you still have them for 25 minutes, which is just about right for a fast food meal plus some snacks for the road.

Your advantage with EV chargers is that your customer base is more "captive". With gasoline cars, they'll often stop for gas, then head to a restaurant a few miles down the road, maybe in the next town. But with EVs, they eat within walking distance of the chargers. They'll often do some shopping, too, if you can find the right goods.

One option to exploit this is to build amenities around your chargers, the "travel plaza" model. Another is to find a location with good travel amenities and put your chargers there, getting local businesses to pay you for the customers you bring them.

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