Steve Randy Waldman
@interfluidity.com

health insurance choices in the US are a form of financial speculation. you make your bets, suffer or enjoy the consequences. like sports betting.

in reply to this
Steve Randy Waldman
@interfluidity.com

yes. but Americans are absurd to be mad at health insurance. every system rations, after all. no i don't condone Luigi-style vigilanteism, at all. it's a dark and terrible road. but i won't pretend i don't understand.

in reply to this
Steve Randy Waldman
@interfluidity.com

always!

in reply to this
Steve Randy Waldman
@interfluidity.com

wife and i went for colonoscopy, which our insurere chirped in e-mails was recommended and would be free. gastroenterologist asked about our health. we candidly talked about our old body digestive issues. colonoscopy is now $2500 per person, because it's no longer "screening" but "diagnostic". 1/

in reply to this
Steve Randy Waldman
@interfluidity.com

of course we just skipped it. we're not paying $5K for a fishing expedition when nothing is particular wrong other than old bodies with rough digestion. 2/

in reply to self
Steve Randy Waldman
@interfluidity.com

paying $6K more next year for "gold" insurance so it's not absurd to get the colonoscopies. (we'll have deductibles of 1K rather than I think $9K this year.) /fin

in reply to self
Steve Randy Waldman
@interfluidity.com

buying stock on the secondary market is investment in an accounting sense, it's not investment in the sense people like to imagine of performing information work and endowing particular economic activity that otherwise would not occur by virtue of the finance provided. 1/

in reply to this
Steve Randy Waldman
@interfluidity.com

in the latter sense, no, mostly buying stock is not investment. people like to confuse the S=I accounting sense with the courageous entrepreneur information-work and useful real-economic risk sense, because it makes them feel better. but they are not the same. /fin

in reply to self
Steve Randy Waldman
@interfluidity.com

why would a wealth tax (at levels much higher than PMS levels of wealth) raise aggregate demand? in a broken (relative to unaffordable recent norms) stock market environment, PMCs shift to where they mostly ought always have been, Treasuries, CDs, other low-information, low risk instruments.

in reply to this
Steve Randy Waldman
@interfluidity.com

* gack. PMC.

in reply to self
Steve Randy Waldman
@interfluidity.com

not only must i hit it, but i must vastly surpass it to get a benefit. who knows. i could get onto a ventilator or something and really hit the big time. at ~$10K an inpatient night, there's still plenty of time to hit it big!

in reply to this
Steve Randy Waldman
@interfluidity.com

sick, perhaps getting worse. hmm. see a doctor? or wait a week + hope for the best because contributions to the calendar-year deductible disappear into a black hole now, make progress towards useful insurance in a week. skin-in-the-game really renders health-care utilization choices more rational.

Steve Randy Waldman
@interfluidity.com

yeah, this whole line of reasoning is wrong. investment in the sense of deferred consumption is far from the binding constraint on economic growth and development. 1/

in reply to this
Steve Randy Waldman
@interfluidity.com

stock market investment largely represents consumption people do not need to be bribed to defer, a residual as income exceeds consumption at a given amenity level, where people decide insuring their future is more valuable than jumping to a more difficult amenity level. 2/

in reply to self
Steve Randy Waldman
@interfluidity.com

PMC equity investors like to imagine they are being paid reasonably for a useful and constructive role their investments play in the economy. it’s a nice story. it’s entirely mistaken in my view. /fin

in reply to self
Steve Randy Waldman
@interfluidity.com

wealth in stocks is deferred consumption sure. investment in an accounting sense, not investment in a meaningful sense. 1/

in reply to this
Steve Randy Waldman
@interfluidity.com

preventing price growth from already extraordinary levels relative to GDP or GVA would be a start, and I’m all for finding practical paths through this. 2/

in reply to self
Steve Randy Waldman
@interfluidity.com

But it’s a rock, a weight, we would be collectively choosing to bear on a road to a saner wealth distribution, which ultimately means lower private wealth relative to GDP. /fin

in reply to self
Steve Randy Waldman
@interfluidity.com

i think the PMC’s addiction to high and growing equity prices is an extraordinary, perhaps fatal, problem. By fatal though, I do mean fatal. Stein’s law bites. However uncomfortable the alternative, what can’t go on forever won’t.

in reply to this
Steve Randy Waldman
@interfluidity.com

🙁

in reply to this
Steve Randy Waldman
@interfluidity.com

tonight Apple Pay asked me to authorize a payment, then billed me more than that. initially it was WTF? but eventually a receipt came through itemizing local + state sales tax beyond the authorized amount. is this new? i think Apple Pay should solicit authorization of the full amount it will bill.

Steve Randy Waldman
@interfluidity.com

(also they charged rates much higher than the actual sales tax rate where i live.)

in reply to self
Steve Randy Waldman
@interfluidity.com

❤️

in reply to this
Steve Randy Waldman
@interfluidity.com

you are free to say “bye bye” to it quite a bit, though!

in reply to this
Steve Randy Waldman
@interfluidity.com

it’s still going, so you can’t say for sure.

in reply to this
Steve Randy Waldman
@interfluidity.com

one reason the US is so mad at insurance companies is not because rationing exists, but because care is often rationed the same way firms ration customer service, by byzantine discouragements that only the most dedicated persist through. even the most dedicated can and often do die from delay.

Steve Randy Waldman
@interfluidity.com

masto.ai/@mister914/1...

Ray Jepson (@mister914@masto.ai)

in reply to self
Steve Randy Waldman
@interfluidity.com

mastodon.social/@curtosis/11...

curtosis (@curtosis@mastodon.social)

in reply to self
Steve Randy Waldman
@interfluidity.com

if a night is to be sleepless may the fault be peels of laughter and joy.

in reply to this
Steve Randy Waldman
@interfluidity.com

“the destruction of American public transit in the middle of the 20th century and the suburbanization of the middle class and aspirants both came before the increase in crime rates”

Loading quoted Bluesky post...
Steve Randy Waldman
@interfluidity.com

#relatable blog.rongarret.info/2024/12/i-ha...

I have failed. Now what?