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orborde

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17 points·by orborde·il y a 4 ans·0 comments

Our main problem in health policy is overemphasis on medicine (2007)

cato-unbound.org
53 points·by orborde·il y a 5 ans·76 comments

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orborde
·il y a 2 mois·discuss
Pangram (low false positive AI detector) tags this article as AI-generated: https://www.pangram.com/history/a520d0fd-335f-4cf2-8522-c608...
orborde
·il y a 4 ans·discuss
The final versions used for the tables/figures in the book are here, I think: http://www.bcaplan.com/returns.htm
orborde
·il y a 4 ans·discuss
Why do you still work with the useless partners?
orborde
·il y a 5 ans·discuss
This uses domain fronting, which both Google and Amazon forced Signal to stop using in 2018: https://signal.org/blog/looking-back-on-the-front/

Did cloud providers get more permissive since then?

EDIT: Tor also got hit by some shutdowns in 2018 due to its use of domain fronting:

https://blog.torproject.org/domain-fronting-critical-open-we...

https://gitlab.torproject.org/tpo/applications/tor-launcher/...

From the second link, looks like the plan is that Snowflake will annoy cloud providers less by only using the domain-fronting channel to propagate routing info:

> sending Tor traffic directly through domain fronting (rather than using it only to distribute bridges and snowflakes) enables these platforms to claim that this technique is used by malware and therefore harmful to users, justifying shutting it down.

> Snowflake is a more sustainable way for us to use the expensive but high censorship-resistance features of domain fronting as a low bandwidth bootstrapping channel.
orborde
·il y a 5 ans·discuss
The US adult obesity rate is 42.4% [1]. To get to 75% of deaths being obese people, you'd need about a 4x death rate of obese people compared to non-obese people. Most obese people find it extremely hard to stop being obese and often fail despite immense effort.

Meanwhile, getting a COVID vaccine reduces the chance of death by >10x at a cost of <$40 per person. My impression is that vaccines are unusually cost-effective medicine and that the low-impact medical spending is elsewhere in the system, but it is nonetheless thought-provoking to consider this specific example.

[1] https://www.cdc.gov/nchs/products/databriefs/db360.htm
orborde
·il y a 5 ans·discuss
(OP here)

This essay set may superficially appear to be another repetitive salvo in the interminable US healthcare political conflict, but I recommend reading a bit deeper. I think the perspective these essays offer (that, at the margin, medical spending doesn't affect people's wellspan much, at least not in the US) is both quite important and underrepresented in most discussions of healthcare.
orborde
·il y a 5 ans·discuss
What specifically has changed since this essay set was published that would render it moot? If "the ACA", what specific ACA policies?