@LostShakerOfSalt @transgrammaractivist yeah, up to a certain point, retard
beyond that certain point, they get very pissy and litigious
@LostShakerOfSalt @transgrammaractivist yeah, up to a certain point, retard
beyond that certain point, they get very pissy and litigious
@TrevorGoodchild @dissidentsoaps pro tip for frens: make frens with a competent White doctor, ideally make frens with a couple of them, and stick to them like glue
if you are capable of doing things for them, they will do things for you (like teleport you through reams of red tape when it matters)
@dissidentsoaps @sickburnbro @TrevorGoodchild @Shadowman311 @LostShakerOfSalt @transgrammaractivist yeah, the key thing to note is that (((they))) are going to be very hostile to anything which has the net effect of routing around their control and profit mechanisms, and they are very very good at sniffing those out
therefore, anything which attempts to do that will need to be very cleverly designed and implemented so that it is either illegible to their power-structures or immune to them
@epictittus @TrevorGoodchild @dissidentsoaps @sickburnbro @Shadowman311 @LostShakerOfSalt @transgrammaractivist the problem with "private healthcare" and "insurance" is that they wind up in a terminal death-spiral: third-party payment creates a situation where providers are incentivized to raise their prices as much as they can, because the consumer of the service is not the payer for that service and there is a fairly large amount of "float" that can be absorbed systemically without obvious specific pain felt by any particular party, therefore price discrimination is not a thing that happens
this is a VERY tough problem to solve; it isn't just how do you tell Dr. Noseberg the Shekel-Grifter "no", it's how do you tell Dr. White von Highskill that he might be exactly the best surgeon on five continents that he thinks he is and yet the market still can't bear the downstream consequences of him charging 100% of what he thinks appropriate, that he must accept some limitations there in at least some circumstances?
the cure for this winds up looking a lot like monarchy; the Royal College of Physicians is a prestigious thing, and titles are handed out for those who embody particular excellence, but it is royal and therefore mediated by some sovereign who takes an interest in its application to the welfare of his people
@TrevorGoodchild @dissidentsoaps @sickburnbro @Shadowman311 @LostShakerOfSalt @transgrammaractivist the entire "payment problem" boils down to the ugly problem of how much it is reasonable to expect somebody to pay for "reasonable" (not necessarily even "heroic") medical care over the course of a lifetime and how you can force them to do it once they consume the service; medical care is one of those goods for which there is approximately infinite demand, especially in a culture that values life, youth, and health above all else
there are all kinds of notional permutations, but they all wind up looking like something we already know about and don't want: the HMO, the insurance company, gummint healthcare, and so forth
there seems to be a limited amount of novel ideas in this equation, and some new ideas are sorely needed
Because of this, sticker price on treatments for boutique diseases is hundreds of thousands of dollars. Nobody is paying that. Nobody can. But by any fair definition it certainly is healthcare.
Lot of misconceptions to unpack.
Im not against funding research, I just didnt address it because we are talking about healthcare costs specifically. Research isnt healthcare, its separate, and should be funded based on available funds, not end result. If you want we can discuss research (I favor a shotgun approach).
Boutique diseases are rare and not of concern to a nation as a whole. There has to be triage at some level, money isnt infinite. Should we blow a trillion trying to turn gays straight? Some things are just a burden that the individual suffers with and dies, ita fucking tragic but there is no reason to export that tragedy to everyone.
Treatments are expensive for a lot of dumb reasons, like the fact that hospitals dont get paid fully by insurance, so the price is 2x, 3x, 10x what it should be, just to extract the actual amount.
Charity can be useful, but it's not a magic wand. Charity is a byproduct of wealth, and we're not in a great place for that now.
Charity is a function of basic humanity and high trust societies, not disposable income, the highest sources of per capita charity are the middle and working classes. Niggers and jews dont donate to charity, but they arent human. Also people in high-tax societies donate less charity, for obvious reasons.
But... even taking your premise as true... If people can't afford to be charitable toward boutique diseases, how is it ethical to take food from their table and force them to fund boutique disease research?
@agaperealm @epictittus @TrevorGoodchild that isn't going to happen, for simple reasons of cost
there is zero efficiency gain for making a robot do most of those things; all of the gains of technology come from redefining the problem space to permit the efficient use of large-scale solutions
for one-offs and custom environments, it is going to remain far, far cheaper to employ the Mk I Meatbot
Diesel engine mechanic
for the "diagnosis" part, not for the "fixing" part
HVAC tech
no
Welder
no
tow truck operator
how's that autonomous driving going? lol
locksmith
no
plumber
no
carpenter
no
@epictittus @TrevorGoodchild yeah, that's kind of where I'm going with it: anything which is
are going to be eaten alive by AI, because the driving force in today's world is the "standard of care", which is defined with reference to commonly-accepted evidence-based medicine - RCTs, publications, and so forth - combined with insurance acceptability
the issue is that AI is going to incorporate a larger corpus of information automatically than any doctor can possibly even have access to; this guarantees that whatever the "standard of care" is, the AI is going to be better at achieving it than the doctor is
(note that this does not mean the AI is necessarily going to be better in any specific case, or that it is necessarily going to lead to better patient outcomes; what it means is that overall, it will probably have better care statistics, and for megascale systems like modern healthcare, that's literally the only thing that matters)
arguably, the rise of the 90IQ MD with a tablet (EMR) is here, for those with eyes to see it (feels bad mang); everything you described is already something that's happening
@TrevorGoodchild @sickburnbro @Shadowman311 @LostShakerOfSalt @transgrammaractivist tbh I have the feeling that the anesthesiologist is going to be one of the first casualties of effective domain-specific AI/AGI
optimizing "keep the patient alive and vitals within acceptable band" by controlling a dozen variables is the sort of thing that's right up a machine's alley
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