health insurance choices in the US are a form of financial speculation. you make your bets, suffer or enjoy the consequences. like sports betting.
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.
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/
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/
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 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
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.
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!
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.
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/
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/
wealth in stocks is deferred consumption sure. investment in an accounting sense, not investment in a meaningful sense. 1/
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/
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.
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.
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.
if a night is to be sleepless may the fault be peels of laughter and joy.
“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”
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