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Cake day: August 9th, 2023

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  • Compare the health care spending per capita of industrialized countries:

    https://www.healthsystemtracker.org/chart-collection/health-spending-u-s-compare-countries/

    The US spends $12,555 per capita (per 2022). To bring us in line with other industrialized countries, we would need to cut that number in half.

    Compare to the number cited in the article:

    To get your head around why this is, think for a second about what happens to every $100 you give to a private insurance company. According to the most exhaustive study on this question in the U.S.—the CBO single-payer study from 2020—the first thing that happens is that $16 of those dollars are taken by the insurance company. From there, the insurer gives the remaining $84 to a hospital to reimburse them for services. That hospital then takes another $15.96 (19% of its revenue) for administration, meaning that only $68.04 of the original $100 actually goes to providing care.

    In a single-payer system, the path of that $100 looks a lot different. Rather than take $16 for insurance administration, the public insurer would only take $1.60. And rather than take $15.96 of the remaining money for hospital administration, the hospital would only take $11.80 (12% of its revenue), meaning that $86.60 of the original $100 actually goes to providing care.

    Administration overhead fixes wouldn’t quite get all of the difference, but it is a huge chunk of it. That on top of Medicare being able to negotiate better rates would likely do the rest.

    So, yeah, do universal Medicare. That alone takes care of almost the entire problem.





  • I think you’re under some misconceptions about how this has happened. The old trucks are completely non-viable. Way past their expected lifespan. They all need to go. If there was a time to phase out the old trucks, it was about 20 years ago.

    The new trucks come in EV and gas flavors. The EV version only has a 70 mile range, but that’s plenty for many city/suburban routes. So they’re putting them in where they make sense and everything else gets the gas version. Over time, a longer range EV version could take over the vast majority of routes, if not all of them.



  • Except there’s evidence they do, in fact, go both directions.

    For example, DES had its s-boxes messed with by the NSA. At the time, the thought was that they were intentionally weakening it. Some years later, public cryptographers developed differential cryptanalysis for breaking ciphers. They found that the new s-boxes in DES made it resistant to differential cryptanalysis. It appears the NSA had already developed the technique and had made DES stronger, not weaker. Because again, they need to protect their own stuff, too, and they used and promoted DES to get there.

    They also gave it a really short key that was expected to be broken by the '90s, which is also exactly what happened.

    They appear to be going a similar direction with elliptic curves. They seem to be resistant against certain attacks, and the NSA was promoting them earlier than most public cryptographers.