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Cake day: June 12th, 2023

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  • I don’t think he’d have the ability to target specific churches like that, he’d have to remove the blanket religious tax exemption so it would apply to all of them. I think the only way he could target specific churches is if he somehow got them reclassified as not religious institutions and I’m not sure how he would manage that. Doing that to something like the church of scientology is one thing, it’s already on shaky ground, but trying the same thing on something like the Episcopal church is something else entirely. Unfortunately I could see him maybe succeeding at getting TST reclassified.






  • So, the Democrat candidate did better than the last election but still got absolutely annihilated. Woo. Yay. Happy Day.

    This is such a non-news story for anyone but a DNC staffer it’s ridiculous. Maybe someone wants to breathlessly report on how much better or worse the green party candidate did last election as long as we’re talking about things that don’t actually make any difference.

    If you “outperform by double digits” and still lose by a double digit margin that just highlights how terrible you are, and how fucked we all are. Had they managed to win that seat or even get things close enough that the loss was in question that would be a news story, this is just reading political tea leaves.







  • Only the first one can be fixed by competition, the rest aren’t impacted by that at all. There are too many moving parts for it all to magically go away by just saying “make them compete”. For instance what happens when insurance companies compete to offer the best deals on group rates to employers but then charge exorbitant premiums to employees? Or what if insurance premiums all magically came down but pharmaceutical prices kept skyrocketing?

    Medical costs are an inelastic demand as well as a non-discretionary expense. That’s an absolutely terrible combination which means they’re almost entirely isolated from market forces.

    Consider for instance a situation I find myself in. I need a certain medication for a permanent medical condition. Fortunately there are multiple medications available (often due to patents there’s only a single option). Unfortunately I’m allergic to all but one of them. That means it doesn’t matter if the pharmaceutical company is charging $5 or $5000 I’m paying for it. I literally have no choice. Whether my insurance pays for 100% of that or 0% doesn’t change what the pharmaceutical company is charging. Further for insurance I was offered a choice of about 5 different plans through my employer (which is a lot by most standards, often employers only offer one or two plans). My insurance is by all metrics terrible, I pay thousands of dollars every year in deductibles, but once I hit those deductibles it covers everything at 90% which with my medical expenses save me tens of thousands of dollars a year. There are cheaper plans of course, but then the tradeoff is that I’m restricted to a tiny handful of doctors who are all terrible and every single medical decision has to be pre-approved by the insurance company or they don’t cover it and I’d rather pay the extra thousand dollars a year to keep those decisions between me and my doctors.

    The US medical system is a hydra and fixing any one part doesn’t actually solve anything. The entire system needs to be overhauled top to bottom. Switching to a single payer system is just the first step in that process but it’s a necessary one because otherwise the problem is intractable. It’s likely the patent system is going to need to be overhauled at least with regards to medications before it’s fixed as well.


  • Mostly because:

    A) Insurance companies collude with each other

    B) are only half the problem (the other half being hospitals and pharmaceutical companies cranking prices up)

    C) Most Americans get their insurance through their employer

    and

    D) Healthcare costs are complicated because they’re split between insurance premiums and out of pocket expenses and typically raising one lowers the other and vice versa

    Insurance was always a terrible way to handle healthcare expenses because healthcare costs are generally non-discretionary and have far too many moving parts and payers.




  • That’s why I specifically said non-Republicans.

    Edit: here, I’ll walk you through the math. The article says 70% of Republicans approved of him and 33% of everyone approved of him. Republicans make up ~30% of the population. 70% of 30% is 21%. That leaves 12% unaccounted for (33-21). So 12% out of everyone both approves of him and doesn’t identify as a Republican, while 21% out of everyone both approves of him and identifies as Republican. The remaining 67% of everyone doesn’t approve of him whether or not they identify as a Republican.