tptacek

13 ms·

361.
by tptacek 2mo ago
If by that you mean we formally select for police with lower intelligence, that's not true; it's an Internet urban myth. If you meant something along the lines of the job's conditions and circumstances intrinsically selects f
362.
by tptacek 2mo ago
It's the CME NHE. It's literally the same data this study is based on. It's what every study of health care spending in the US is based on. And they're not split: one row is an aggregate of subsequent rows, as you can
363.
by tptacek 2mo ago
I don't think there's a whole lot to understand in this study; it's pretty wildly extrapolated and its savings numbers come from spherical-cow projections of what single-payer would actually do (somehow, it would drastically
364.
by tptacek 2mo ago
Europeans do pay much less (though: for roughly the same outcomes --- probably the same outcomes if you control for wild SES variance across the US).
365.
by tptacek 2mo ago
Back atcha!
366.
by tptacek 2mo ago
Cite the source for "access to healthcare" as a "very significant factor" in US life expectancy? We have pretty good numbers on the mortality cause differences between the US and other countries and they don't align
367.
by tptacek 2mo ago
No, insurance spending is broken out separately in the NHE. https://nationalhealthspending.org/
368.
by tptacek 2mo ago
Administration is ~25% of provider expense; billing and insurance is ~8.5% of provider expense. Administration is: * Billing and claims management * Compliance * Customer service * Operations * IT You can drive billing all the way down to z
369.
by tptacek 2mo ago
https://nationalhealthspending.org/ BIR is 8.5% of provider spending, once you add the multiple cells up that constitute providers. I don't think your argument is going to survive contact with the numbers here.
370.
by tptacek 2mo ago
I hear recommendations for this book all the time; I've cover-to-covered Strang several times and have digested maybe 20% of Axler (I just dip into random sections of LADR when something annoys me in a problem set or whatever), and I&#
371.
by tptacek 2mo ago
Or maybe I'm reading it backwards! Has been known to happen. :)
372.
by tptacek 2mo ago
I don't want to sound like I'm fundamentally arguing with you, because if I could swap our system with Germany's I'd do so in a heartbeat. But (a) the "money that should be going into health care and education is go
373.
by tptacek 2mo ago
Life expectancy differences between the US and other countries are dominated by just a few factors: * Car accidents, because we drive much more and are much more spread out than other countries. * Drug overdoses, though other countries are
374.
by tptacek 2mo ago
We spend more on pension and benefits than we do on wars. The United States government is a benefits manager with a standing army.
375.
by tptacek 2mo ago
That's not how this system came into being. It's a path-dependent quirk of the tax codes of the 1940s. We got into this predicament because of WW2-era wage controls (a dollar spent on health care by your employer was literally wor
376.
by tptacek 2mo ago
Is that Abe's dad?
377.
by tptacek 2mo ago
Billing and insurance ("BIR") is reported at around 8.5% of revenue --- admin isn't just BIR, as you note. But replacing private insurance with Medicare doesn't drive BIR to zero; Medicare is also a claims-based system
378.
by tptacek 2mo ago
No, fraudulent billing is the natural predator of insurance companies. You have this backwards.
379.
by tptacek 2mo ago
No, uninsured Americans are captured in those numbers.
380.
by tptacek 2mo ago
The mortality numbers in this paper appear to be extrapolated from an observational study of 9,000 cases from 1988-1994. That paper distinguished between "privately insured" and "not privately insured". This paper distin
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by tptacek 2mo ago
The US has top-tier cancer survival-after-diagnosis outcomes. We spend too much to get there, and other countries in our cohort would "argue" that we get those numbers in part by diagnosing earlier and that our outcomes are broadl
382.
by tptacek 2mo ago
All the stories I've heard about that came from people with bad insurance (for instance: insurance programs that could rescind coverage if you were diagnosed with something serious, and that functioned mostly as billing processors for
383.
by tptacek 2mo ago
That's literally the premise of the report. The savings comes from getting Medicare's current rate sheet for every patient in the entire market.
384.
by tptacek 2mo ago
One of my favorite health care facts: there are more MRI machines in the state of Massachusetts than there are in the entire country of Canada.
385.
by tptacek 2mo ago
This paper is based on numbers from the CMS NHE. Here are those numbers summarized (up to 2023): https://nationalhealthspending.org/ I haven't finished reading the paper and have no opinions on it (other than that most
386.
by tptacek 2mo ago
No it didn't. The ACA slowed cost growth, which was already skyrocketing by the time it passed.
387.
by tptacek 2mo ago
I agree with you about the ACA (as an opponent of single-payer). Prior to the ACA, members of my immediate family were uninsurable on the individual market --- not insurable at a higher rate, not insurable with exclusions, but literally un
388.
by tptacek 2mo ago
I make a point of driving on Lower Wacker because it's fun, but for someone who doesn't drive downtown a lot, it's both kind of confusing and also a bit nerve-wracking; I wouldn't ever expect, like, my mom to drive it.
389.
by tptacek 2mo ago
Wait, first off, I want to note here that you're suggesting that 1990s NTRU is a more trustworthy design than Module-LWE. But the bigger problem is with your logic. It applies to literally any other choice NIST could have made. If they
390.
by tptacek 2mo ago
You know who wouldn't agree that Curve25519 is "just a specific set of constants for ECDH"? The guy who wrote SafeCurves. Also: you've lapsed into talking down all lattices , which leaves you in the position of explaini

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