Privatized progressive tax?
IMHO this is great - broadest shoulders shoulder most.
However, it likely should be more organized? Maybe do more of this research in public institutions and make it freely available to commercialize.
IMHO this is great - broadest shoulders shoulder most.
However, it likely should be more organized? Maybe do more of this research in public institutions and make it freely available to commercialize.
Part of the reason the US has a higher GDP is because we work longer hours and take less vacation. "You work harder, therefore you should shoulder more" hardly seems fair.
Europe makes fun of us for our defense spending yet demands protection, makes fun of us for working long hours yet says we should shoulder more, makes fun of us for overspending on health care yet charges us 10X as much for the drugs they manufacture: https://www.healthline.com/health-news/heres-how-much-more-o...
I just can't shake the feeling that Europeans see Americans as suckers.
> we work longer hours and take less vacation.
Yes, but people working longer hours doesn't necessarily translate to more output, especially when quality is taken into account.
Anecdotally, from what I've heard from people working in international companies, the American work culture doesn't seem to be very efficient when looking at the end result. The studies of 32 hour work weeks seem to indicate similar findings, though like the anecdotes, should be taken with a grain of salt of course. But I truly believe that in most cases, a developer who works 10 hours a day will not produce more than one who works 6 hours a day, at least after a couple of days.
>Europe makes fun of us for our defense spending yet demands protection
You do realise that until very recently, America has gained an absurd amount of soft power through this defence spending, right? And was able to convert this soft power into a lot of GDP through indirect subsidies of its international companies? Just because the current administration has squandered this advantage, doesn't mean you did not get out more than you paid for the last couple of decades.
>I just can't shake the feeling that Europeans see Americans as suckers.
I agree with you on that point,but not for the reasons you might think. I see the "temporarily embarrassed millionaire" phenomenon, people constantly against their self-interest and the like, and and it's hard not to. I have relatives in the US, and I still feel sympathy for your people.
But it's getting harder and harder to not see you as suckers when you look at the tariffs or the cuts to welfare, science and education, all while the rich get massive tax cuts. And all is being done in the name of "draining the swamp", by a billionaire who is incredibly well-connected with 90% of the corrupt elite he publicly opposes.
"makes fun of us for overspending on health care yet charges us 10X as much for the drugs they manufacture: https://www.healthline.com/health-news/heres-how-much-more-o..."
It is pretty amusing to see Europeans gloating over their low-cost/public healthcare while part of its treatment structure is subsidized by Americans through what they pay for the same to the same companies.
But as we are supposed to steelman others on hn, I will pretend that your comment was made in good faith, and that you are actually amused by "Europeans gloating" and just want my take on the rest of the parent comment.
Of course, some of the price difference between US and the rest of the world comes from research and development, along with price segmentation, the latter being pretty much standard in capitalism on a global scale.
But as long as your drug companies spend so much on marketing and making intermediaries rich beyond measure, and your government doesn't negotiate the prices down and doesn't properly regulate them, it seems a bit strange to me to completely focus on the r&d part when talking about the 10x difference.
While the US isn't willing to meaningfully address any of the other major issues with healthcare pricing, it feels like this issue is just an excuse for some Americans to see themselves as victims on the global stage, which has become rather fashionable with supporters of the current administration. To an outside observer, the situation looks very similar to the ongoing embarrassment about the tariffs, or the examples I have already given about defense spending and vacation time.
I don't support Trump.
"'Novo Nordisk is ripping off the American people,' Bernie Sanders says of Ozempic and Wegovy costs"
https://www.nbcnews.com/health/health-news/bernie-sanders-oz...
Obama repeatedly referred to Europeans as "free riders" on matters of defense: https://archive.is/cvJ8d
Historically, with American Exceptionalism, Americans didn't care as much about getting a fair deal as long as they were making the world a better place. It's you Europeans who decided to gloat and undermine American Exceptionalism. That's why Americans from both parties are now focused on getting a better deal for ourselves. American Exceptionalism is over, and smug Europeans are on their own now.
How can that be? As an American you must understand that everyone negotiate for themselves with no external or global consequences.
Ofcausr you can have higher salary without it affecting your neighbor - it is just you working higher!
And ofcause you can negotiate better deals with the medicine industry without it affecting you neighbor - you are just a better business man!
People always claim this, but they're rarely able to give compelling concrete examples.
It's hard to say for sure. For all we know, if it weren't for NATO, the US would've been able to sell much more military gear to Europe, since they would have greater need for it.
The US economy generally performed quite well in the pre-WW2 era, before NATO was created. I don't think our current relationship with Europe is at all essential.
Which becomes annoying when fairly rich Europeans ride these coattails (and defense) while being incessantly snobbish about their healthcare superiority, in large part paid for by us.
Though a big part of the Trump win comes from this - yea some Americans are rich, but a lot of them are really poor and justly mad at how much more expensive things are that we produce.
The EU’s Horizon Europe is €95.5B (2021–27) with €16B for ERC alone, national funders like the UK’s NIHR spend ~£1.4B/yr, and Europe’s pharma industry invests ~€50B/yr domestically.
Europe is home to Roche, Novartis, AstraZeneca, Sanofi, GSK, Novo Nordisk, each spending billions annually on R&D (Roche CHF 13.2B, AZ $13.6B, Sanofi €7.4B etc.). Also a big chunk of US list‑price "overpayment" never reaches manufacturers—rebates/discounts were an estimated $335B in 2023—so it’s not all subsidizing innovation.
Innovation is now multipolar: in 2024 more NAS originated from China (28) than from the U.S. (25) or Europe (18). So strong US funding matters, but Europe clearly pays and builds a lot too.
That said, our ... fascinating ... experiences ... in trying to get the government to fix our health systems is certainly no outsider's fault. Europeans and others can feel at ease continuing to mock us.
I'm 63, and my wife is near my age. We take this stuff seriously.
I have known many people that have been completely devastated by medical crises. Even with insurance, some types of illness can be catastrophic, financially.
I also have known quite a number of folks that have done an amazing job of taking care of themselves, yet still had medical crises.
-but if I get a terminal, especially long-term illness, it's a wipeout either way; if I'm out $20k/year to the healthcare providers and $20k/year to the insurance company, and can't work -- draining $40k/year in health costs just isn't going to work out for very long, unless I can make it another decade or two.
Edit: I should say, too, I give money directly to my daughter (that is, well before [ideally] I'm ill), specifically so I can declare bankruptcy with less family wealth loss if I should have to, and to help fend off Medicaid clawback.
Put me in Hospital for 17 days. A week of that, was ICU (lots of machines that go “beep”).
I had an HMO, at the time, and it was a pain, dealing with them, but it ended up costing me almost nothing. I think it would have been almost a million dollars, if out of pocket.
edit: remainder of original reply removed.
I'm sorry but by my math, there aren't that many publicly routable IP addresses (like 2.5 billion?). Generating and storing rainbow tables for all 2.5 billion publicly routable IP addresses wouldn't take an exorbitant amount of time, making that part semi-reversible.
Edit: On reconsideration, though, given that, I went ahead and removed the link, email address, and solicitation generally. I'm confident nothing would go wrong in the context of the 1000 or so people I imagine would ever see that link before the service is removed/renamed in some years, but I can appreciate the high-value liability of being wrong on that. Thanks.
The entire original point of insurance was to amortize the costs of the extreme events by spreading the costs across many people.
Are you paying rack rates for pharmaceuticals instead of the PBM rates? That gets expensive really fast.
This isn't very relevant to us though given none of us have any long-term issues (what actually got me to switch off health insurance was getting the EoB paperwork [every week, because the bills never seemed to stop for a long while after I stopped going to the burn clinic] for severely burning my hand in a grease fire; I would've been better off uninsured and shopping around). After a decade at the $20k/year assumption for family of 3's health insurance, we wind up with ~$200k saved up BEFORE investment gains (which, while I'll grant can be negative, we do have a pretty powerful, accessible, and long-term consistent engine in the US). Once I'm in my 40s, I should be able to afford having brain cancer; and if I don't get brain cancer, well, the biggest positive there is not having brain cancer.