1,659 karma · joined May 25, 2010
Unfortunately, the current regulatory climate in SF is 180 degrees opposed to this solution, with NIMBYism run rampant and any improvement or expansion of existing housing stock subject to a thicket of roadblocks and regulations.
Back in the 1970s, there were thousands of small, independently owned grocery and retail stores that have been pushed out by large chains. I don't fault people for preferring to buy their food and clothing from large, brightly lit, lavishly appointed and stocked stores with low prices. Personally, I wouldn't choose to buy my groceries at a rinky-dinky corner store that was common in this country forth years ago when I had the option of shopping at a modern Super Target. But that means that people aren't opening small stores and small restaurants, and small inns like they used to.
But the loss of those businesses as entrepreneurship opportunities may have drained a little bit of the color out of our country's culture, it hasn't affected our innovation engine very much. If anything, the demands that larger scale enterprises like Target and Kroger and Chipotle and Holiday Inn Express for efficiency and logistics have spurred American innovation on, and the expansion of these companies have made the average US consumer's life better by bringing them a better selection of higher-quality products and services at lower prices, increasing everyone's standard of living. (Admittedly, at the cost of a degree of homogeneity).
So we could have fewer opportunities for entrepreneurs to start successful new businesses, but still have expanding opportunity for a certain type of entrepreneur to start truly innovative companies opening up brand new markets and doing that "disruption" thing. We'd have to take a closer look, and separate out new dry cleaners and dentists offices from technological innovators.
Why do you suppose people are so interested by self-help and "life hacks," but in general we're not actually that motivated for self improvement?
(see what I did there?)
Trying to get a startup off the ground in most other places it too hard because raising seed money is too hard, and even if you raise seed money, raising a series A is too hard, and so on. To make a Silicon Valley, you have to seed the ecosystem with an initial generation of successful entrepreneurs who are wiling to adopt the ethos of the SV angel investor, then provide an investment infrastructure to make sure that promising startups don't die on the vine.
And, as many others have pointed out, an open spigot of government money was necessary for the original SV to develop, so that's probably necessary for any copycat.
The key to your question are the terms "guaranteed issue" and "age bracketing." I'm going to guess that you're pretty young and at least at the time that you enrolled in your health insurance, you'd never had any health problems. They way that individual health insurance worked prior to 2014, insurance companies would offer extremely low rates to individuals, and keep their expenses down by refusing to insure anyone with even the most dubious "pre-existing condition." So if you'd gone to the doctor complaining about a pain in your side, that would be considered a disqualifying event, and they'd turn you down. Or, much worse, you'd get the insurance, pay premiums for years, then if you ever developed cancer, they'd later comb through your health records, find where your doctor wrote down that you'd had a pain in your side, cite it as an undisclosed medical issue, and refuse to cover your cancer treatment.
Needless to say, that's a very effective way of keeping the cost of coverage down: only insure healthy people who never go to the doctor. As you aged, the insurance company would start jacking up your rates to cover their increased exposure. If you ever developed an illness, you'd have no choice but to pay what they asked, because you wouldn't be able to get insurance from another company since you now had a pre-existing condition.
Healthcare reform's two boldest and most popular changes are guaranteed issue (health plans must accept you, regardless of pre-existing conditions) and outlawing "recission," or retroactively searching for disqualifying health records to deny claims. So what that means is that insurance companies can't cherry-pick the healthy people anymore, which means that the young, healthy minority is going to see higher prices for individual health plans.
Second, the ACA reduced the number of allowable age brackets, meaning that plans for the oldest people can only cost 3x what the youngest people pay. So that hits younger people again, since they have to be roped in with an older age contingent than before.
You may have heard Obamacare proponents worrying about getting enough young people into the risk pool so we don't end up with "adverse selection." They're not worried about that just because young people are feckless and think they're invincible. It's also because they know that they're the ones that are seeing the biggest rate hikes. Of course, while someone like you have to pay $200/mo instead of $90, the flipside is that a family that used to be unable to afford $1500 per month and can now be insured for $250, and that seems like a decent tradeoff, especially since, in general, young people will eventually get older and have families themselves, and they'll benefit from the changes.
The good news is that at least for the time being, you'll still have cheaper insurance, until your insurance company starts with the shenanigans and starts jacking up your rates or discontinues that line (and blames it on Obamacare whether it's true or not).
And by the way, if anyone out there is involved in a business that's having a hard time with health benefits costs, my startup is taking advantages of lesser-known provisions of the new healthcare law to save companies a lot of money. Let me know and I'll hook you up with the details. We're called Benefitter.
The problem comes because when your car starts doing something completely unexpected and terrifying, most people panic, so if your gas pedal gets caught on the floormat, you won't have the presence of mind to go through a mental checklist of things you can do to stop the car. My guess is that to the extent that floormat problems caused gas pedals to stick, for 99% of the drivers, they hit the brake and kicked the gas pedal free and they were fine. But 1% of the people, in their panic, hit the gas by accident or just freaked out and froze, and crashed their cars.
Now, since it appears that Toyota tried to cover up the fact that there was a legitimate engineering or design problem at play, then they probably deserve the fine. Even if panic and driver error contributed to each and every incident, it doesn't mean that Toyota wasn't responsible for creating a situation wherein a driver had to cope with a terrifying, unexpected car malfunction.
What this whole incident proves to me is that we're very cavalier about the dangers of having millions of poorly-trained, distracted operators of powerful machines zipping all over the streets of our planet. Self-driving cars can't come soon enough.
http://www.messynessychic.com/2013/05/21/so-in-dubai-the-amo...
When a dealer sells you a "lemon" that racks up thousands of dollars in warranty-covered repairs it's actually a bonanza for them.
The conflict of interest Musk is referring to is that dealers won't want to sell extremely maintenance free cars because their revenue on the back-end would be miniscule.