Tag Archives: arithmetic

Health Care Systems Are Expensive. Deal With It.

Mother Jones

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How much would a single-payer universal health care system cost in the United States? You don’t need to do anything very complicated to get a ballpark figure. Here’s the arithmetic:

Total spending on health care in the US is $3.2 trillion
Of that, $1.5 trillion is already funded by federal and state programs. That leaves additional required spending of $1.7 trillion.
A universal system will still require some copays and other out-of pocket expenses. Figure $200 billion or so. That leaves $1.5 trillion

So that’s it. A universal health care system in the US would require about $1.5 trillion in additional government spending. If you want to make heroic assumptions about how much a single-payer would save, go ahead. But nobody serious is going to buy it. If we’re lucky, a good single-payer system would slow the growth of health care costs over the long term, but it’s vanishingly unlikely to actually cut current costs.

There was a lot of surprise today about an estimate that a single-payer plan for California would have a net additional cost of about $200 billion. But California has 12 percent of the nation’s population, and 12 percent of $1.5 trillion is $180 billion. So that estimate is right in the ballpark of what you should expect. Short of some kind of legislative miracle, there’s really no way around this. Health care is expensive.

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Health Care Systems Are Expensive. Deal With It.

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Man Is the Irrational Animal

Mother Jones

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Mark Kleiman points out that most of us need to hold more or less rational beliefs about our professional lives. “Even people whose stock-in-trade is deception—con artists, stockbrokers, lobbyists—have to observe the rules of arithmetic when it comes to totting up the take.” But that’s only half the story:

Most of the time, though, people aren’t at work, and much of what they think and talk about has little if any relevance to practical decisions in their own non-working lives. Freed of the need to think rationally, most people seem to prefer the alternative.

Yep. This is why, say, it costs nothing to claim that evolution is nonsense and shouldn’t be taught in schools. For the 99.9 percent of us who don’t work in fields that require it, evolution doesn’t affect our daily lives in any way at all. Believing or not believing is affinity politics and nothing more. This explains how Donald Trump gets away with being a buffoon:

The deepest mistake is to regard someone who acts as if he doesn’t give a damn whether anything he says is true, or consistent with what he said yesterday, as stupid….As far as I can tell, Donald Trump simply isn’t bothered by holding and expressing utterly inconsistent beliefs about immigration, or for that matter denying obvious facts in the face of the crowd that witnessed them. And it doesn’t much bother most of his voters, either….And if we deal with it by imagining that Trump, or Trump voters, are “stupid,” we’re going to make some very bad predictions.

We forgive a lot in people we like. Liberals forgive Hillary Clinton for her lawyerly and incompetent defense of her email practices. Trump fans forgive the fact that he makes no sense. But forgiveness is a virtue, right? I guess that makes Trump’s supporters the most virtuous folks on the planet.

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Man Is the Irrational Animal

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Achtung! Don’t Help Your Kids With Their Math Homework.

Mother Jones

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Pacific Standard reports today on a recent study about learning math, but I think they bury the lede. “New research finds that when parents with math anxieties try to help their kids, their efforts could backfire,” says the headline. But here’s the text:

Remarkably, the more that math-anxious parents helped their kids with their homework, the worse the kids did on end-of-year math tests, an effect that in the worst cases cut students’ progress in math nearly in half. Meanwhile, among low-anxiety parents, the team found that parents helping their children with math homework had little to no effect on the kids’ test scores. That effect remained even after controlling for parents’ education levels, teachers’ math anxiety and ability, and other factors, such as a school’s socioeconomic status—a good indication that parents were passing their arithmetic-specific anxieties on to their kids.

In other words, forget about whether you have math anxieties or not. Don’t help your kids with their math homework, full stop. At worst, you’ll screw them up. At best, you’ll do nothing. Use the time for something more constructive, like cutting your fingernails or watching Judge Judy.

Anyway, while we’re on the subject, here’s a math story from my childhood that backs up the results of this study. I guess this would have been around first or second grade. I must have asked my father some question or another, and the upshot was that he told me about negative numbers and how one arrived at them. Some time later, I was filling out an arithmetic workbook at school, and one of the problems was something like “What is 2 – 3?” I wrote in -1, probably feeling kind of smug, and got marked down. I protested to no effect. I was supposed to say that there was no answer because you can’t subtract a bigger number from a smaller one. Thanks a lot, dad!

Is this story true? I don’t know. I swear I remember it, but it sounds kind of unlikely, doesn’t it? Maybe it’s just a trick of memory? Could be, but it’s an odd thing to invent out of whole cloth. In any case, my father is no longer around to protest his innocence, so we’ll never know for sure.

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Achtung! Don’t Help Your Kids With Their Math Homework.

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The Great Paradox of Bitcoin: If It Ever Succeeds, It’s Doomed

Mother Jones

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Will Bitcoin ever become a major competitor to the world’s more conventional currencies? It certainly has some advantages over existing payment networks, thanks partly to its technical structure and partly to the fact that it’s largely free of regulation. But Henry Farrell argues that its freedom from regulation is a chimera:

Up to this point, regulators have largely tolerated Bitcoin as a curiosity and experiment….But if Bitcoin were ever to threaten to become a truly decentralized payments network, owned by no one, and with no one e.g. capable of implementing Know Your Customer rules, regulators would know very well what to do with it. They’d introduce regulatory guidances and pass laws to freeze it off from the regular financial system. Very possibly, Bitcoin could still survive at the margins (as the Hawala system has survived). However, it would be isolated, and in no position to threaten Visa or Mastercard, let alone the underlying payment and messaging services that really underpin the world financial system.

If Tim Lee and other Bitcoin fans want to make the case that Bitcoin can become a major payment network, they need to do one of two things. First, they could show that the U.S. and other major states would not feel threatened by a well-established payment system that they couldn’t control. Second, they could show that a Bitcoin financial network would survive the opposition of hostile states that have enormous control over the actually-existing financial systems that Bitcoin needs to connect to, as well as regulators, police, etc. I don’t see any very plausible arguments that would support either claim. It’s perfectly possible that the underlying technologies of Bitcoin (which help solve some interesting problems of trust and exchange) can be deployed to other valuable uses. But Bitcoin is doomed as a payments network — the very point at which it looks as though it is likely to be widely deployed is the point at which governments, like that of the United States, will crack down on it.

This is almost certainly correct, and the interesting question, I think, is whether Bitcoin and its ilk can figure out ways to operate on a large scale without being effectively shut down by real-world governments. At the moment, I don’t see any way they can do that, but it’s not impossible that this will change in the future.

The evolution of the internet itself provides conflicting guidance as an analogy. Generally speaking, national governments have had considerable difficulty regulating internet content. It’s just too distributed and fast moving. So perhaps digital payment networks similar to Bitcoin will eventually thrive because they pose similar problems to would-be regulators. Like kudzu, they’ll simply be impossible to contain.

On the other hand, countries like China have shown that internet content can be regulated. It merely requires sufficient motivation. And even less authoritarian governments have managed to throw a lot of sand in the gears when they rouse themselves to action. Given that regulating commerce and money is easier than regulating content, this bodes ill for the future of Bitcoin. There’s not much question that it can harried into uselessness if national governments decide to do it.

Still, there are lots of currencies in the world, and it’s possible that a medium-scale version of Bitcoin could stay alive by remaining fairly modest in its connection to any one currency, but fairly large when all of its connections to all the world’s currencies are added up. This might cause problems of coordinated action that would end up defeating national regulators, especially if there were dozens or hundreds of different digital currencies to deal with. Maybe. Possibly. I’m not sure if the arithmetic here would ever add up to anything significant, but I’m also not sure it’s impossible.

But if I had to put money on it? I’d say Bitcoin is doomed in the medium-term future. Farrell is right: it can be a bit of a curiosity, but if it ever enjoys wider success, that very success will kill it.

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The Great Paradox of Bitcoin: If It Ever Succeeds, It’s Doomed

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