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Gordon Tremeshko's avatar

"And at least faking those things is deeply tied to your admission to those schools and to your social life and experience in class and administrative rules set once you arrive."

So selective schools are at least in part selecting for people who excel at faking certain emotions and lying about their beliefs, or at least can tolerate doing so. I'm sure that has no negative implications for the future.

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forumposter123@protonmail.com's avatar

Moses had a truly outstanding post on the effects of healthcare inflation on employment. Linked below.

I will add something to this analysis. When I look at fertility rates they are replacement at the bottom and replacement at the elite level. They fall as income rises until you reach "fuck you money".

My own view is that not just healthcare but everything is designed to ring as much value as possible out of middle class people who have enough to be worth stealing from but not enough to make the system work for them. So they all get two jobs and try to buy the right real estate and keep their heads above water and its so exhausting that they have fewer children to try and get an edge over on the other people doing the same.

In general we need to:

1) Stop exploiting this group so much (to rich for poor people welfare, to poor for rich people welfare).

2) Normalize the after tax income of the child bearing and childless within this group so that the decision to have children is based on wanting/not wanting children rather then a backdoor way have higher take home income.

I don't have an easy solution though because its just really easy to exploit middle class families, they are too busy to do politics all day.

https://substack.com/home/post/p-146052503

"Employers do, in fact, see those rising insurance premiums because they have to pay those premiums as part of employer-insurance plans. But since employers can’t exactly force people to “consume less healthcare” (or be better, smarter or more discerning about the healthcare they consume), what can they do to push back on rising prices?

Employers can fire people, when premiums get too high, that’s what they can do."

"Researchers claim that a 1% increase in local hospital prices lead to ~40 lost jobs, $5M in reduced wages, and ~$1M in reduced tax revenue:

Higher coverage costs had a far greater impact on middle income workers than anyone else (so says the research).

The reason is pretty straightforward: from the employers perspective, the cost per employee is the same, so insurance premiums reflect a far larger tax on lower income workers, as a percentage of salary. If premiums are ~10K/employee, than that is a 20% tax on a $50K worker, while only a 10% tax on a $100K worker, so naturally the middle income worker gets the ax.

Why not the lowest income workers? Well, they’re covered by Medicaid, so the taxpayer handles those.

So, to summarize, as a result of higher healthcare costs—which are rising because more and more people consume a relatively dwindling healthcare supply without any idea of how much it costs—people simply get fired, for no other reason than their share of the cross-subsidy was too high.

Yup, that’s going to solve the problem, for sure."

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