nradov

16 ms·

421.
by nradov 4mo ago
Boom Supersonic is entering the turbine engine market using private funding (they have received some limited government contracts and tax incentives). It seems like the free market is responding pretty well, although they still might fail.
422.
by nradov 4mo ago
We need consumer boycotts, not legislation. I find it hilarious that people would continue to buy (or license) content from a trash company like Sony after they were caught literally installing rootkits on customer computers. Fool me once,
423.
by nradov 4mo ago
If you own an older house then the economically rational choice is to drop your insurance and put that money into seismic retrofits instead. Better to prevent earthquake damage in the first place rather than hoping that insurance will cover
424.
by nradov 4mo ago
In what sense has it ground to a halt? Eight amendments have been ratified in the past 100 years. I think some people are taking a very short-term view here and lack a historical perspective. Let's see how those other countries are doi
425.
by nradov 4mo ago
It's an interesting legal question. Around the time that the US Constitution was written there were private citizens who owned artillery pieces and even entire warships.
426.
by nradov 4mo ago
The slow pace of change is a feature , not a bug. It's fine to wait decades or centuries until we have broad consensus before making amendments. While this might seem maddeningly frustrating or unjust in the short term, in the long te
427.
by nradov 4mo ago
Is there anything in that book that is factually incorrect, or are you going to stick with a lazy, low-effort dismissal? If you had actually read it you would know that it's refreshingly free of partisan ideology. The quotes around &qu
428.
by nradov 4mo ago
Yes, provider organizations waste a lot of resources dealing with differences between health plans. Reducing the number of different payers would certainly reduce that overhead, at least in the short term. Mandating increased health plan tr
429.
by nradov 4mo ago
That is the inevitable consequence of your suggestion. In any national healthcare system, it's ultimately the politicians who have to make choices about the incentives that drive the behavior of every other participant. Is it humane to
430.
by nradov 4mo ago
Yes, part of the overall solution needs to be health plan transparency on clinical guidelines and coverage rules. Currently much of that is concealed, or applied unevenly. But we're not going to eliminate misery from the healthcare sys
431.
by nradov 4mo ago
You misinterpreted by comment. It was not partisan, and was based on reality and cold economics rather than ideology. None of the major US political parties have workable reform proposals that could actually be implemented and achieve net p
432.
by nradov 4mo ago
Are you telling me that $750K yearly compensation still isn't enough for an NBA player? Maybe they should be nice and agree to play for less because they love the game and want to entertain people. If we're talking about orthope
433.
by nradov 4mo ago
I'm not sure what you mean by pricing for "HIPAA safe products"? It's not particularly expensive to comply with the HIPAA Privacy Rule, and honestly that level of privacy and security is the minimum we ought to expect in
434.
by nradov 4mo ago
Feel free to moralize all you like about the maximum wages other people should earn if that makes you feel better but that won't solve any of the actual problems. In the real world, most people respond to economic incentives. Shortages
435.
by nradov 4mo ago
Stop lying, I haven't proposed anything of the kind. Free market solutions often include giving cash subsidies to certain participants (and you would be aware of this if you had bothered to do even basic research on serious healthcare
436.
by nradov 4mo ago
I've worked on a lot of healthcare interoperability standards, including HL7 FHIR. Those can be part of the solution in terms of making the system operate more efficiently and cutting administrative overhead. In many cases payer and pr
437.
by nradov 4mo ago
Is it humane to leave a patient to die in an ambulance when a single-payer nationalized healthcare system is over capacity? https://www.theguardian.com/society/2025/apr/06/englands-nhs... I'm not tr
438.
by nradov 4mo ago
Sure, but the rare type of person capable of becoming an orthopedic surgeon has other career options. There are some who are drawn to it as a calling because they love caring for patients and would do it regardless of wages. But most respon
439.
by nradov 4mo ago
There are certainly some things that we could do to increase the supply of physicians by reducing the cost of education, expanding access to combined BS/MD programs, and increasing the number of residency slots. But those measures will
440.
by nradov 4mo ago
All healthcare systems have some form of rationing. Even if your doctor thinks something is medically necessary it can only get done if the system actually has capacity. In most countries where there is universal coverage with a single paye
441.
by nradov 4mo ago
I'm not necessarily opposed to a single-payer system but the margin that for-profit insurance companies take is a tiny fraction of overall healthcare spending. You could zero it out and it would barely move the needle. And many of the
442.
by nradov 4mo ago
The actual labor share of income is significantly higher when you include employer contributions to employee health insurance premiums. Healthcare costs have been rising faster than overall inflation for decades, and while many of those cos
443.
by nradov 4mo ago
It's pretty expensive to deal with all of the technical support and identity verification work when people lose their devices and need to have credentials reset.
444.
by nradov 4mo ago
I'm not opposed to seizing shadow fleet vessels operated by Russia (or any vessel sailing without a valid flag registration). But as a practical matter Russia is now legally registering much of the shadow fleet under their own flag, an
445.
by nradov 4mo ago
Isn't that how all businesses operate? If customers don't like it then they can find an alternative vendor.
446.
by nradov 4mo ago
Do you think Russia will be willing to pay a tax on their new Rassvet constellation?
447.
by nradov 4mo ago
Yes, it is predictive. But only retroactively.
448.
by nradov 4mo ago
The investment thesis is a torrent of cash arriving to index funds and retirement target date funds has to go somewhere.
449.
by nradov 4mo ago
Buddy I think you missed the joke.
450.
by nradov 4mo ago
We might still reach a point in a few decades where capacity constraints at major airports make larger quadjets economically viable again. That was the thesis behind the Airbus A380, and it didn't work. But is it possible that they wer

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