1,961 karma · joined February 19, 2013
The situation in Germany is way better than in the US, where these negotiations are a lot more favorable to the companies, because they can "negotiate" with individual insurance companies and even patients. But especially in the latter case, there's not a lot of "negotiation"...
The real reason the drugs are priced so high is that people/insurers pay it. I wouldn't even call it a free market, since the patent protection is involved. Essentially it is extortion. Eventually we might get a situation where drug companies raise costs for patented drugs, not only cancer ones, slowly to the breaking point where even less people can afford insurance anymore. Why wouldn't they? The insurers are very disinclined to refuse life saving treatments to their patients.
With biologicals the cost of actually producing the drugs can be high. The only way to bring that down is to drive forward the necessary technology.
The problems with not paying are manifold: They are an underclass, without most rights and very poor. A proper healthcare system can't refuse them treatments, for all sorts of reasons, and poverty and lack of rights just increase health care costs. Then there is the lost potential: Those people do have children, often naturalized, or not, living in the country, but not getting the care, food and education they need, which also means they don't fulfill their potential benefits to society.
I think refusing children basic welfare is about the stupidest thing a society can do. Both for financial and for humanistic reasons. It is completely irrelevant whose children they are.
Economic growth is about "value", not necessarily "consumption of physical resources".
Of course, "illegal" immigrants can't apply for UBI. They would form a permanent underclass, who work for minimal wages, don't have any representation, no social security, and no social mobility.
First, I don't believe the idea of human rights allows a state to tell people where they are allowed or forbidden to live.
Secondly, I don't believe immigration controls are ultimately feasible. In the US this is obvious in the big population of illegal immigrants, other countries are also discovering that they can't really stop people from entering and that hunting down and deporting hundreds of thousands of people is harder than it looks.
Thirdly, I don't believe a society can save money by withholding social welfare to someone who lives among them. The cost in health care, crime, and lost potential may very well outpace the savings.
I also believe a UBI would force countries to try and tighten their immigration controls. The problem is not so much that the immigrants wouldn't ultimately benefit that society, but the upfront payments and increased financial risks are just scary as hell.
I also believe there will come a time, when all industrialized nations will open their borders, at least for honest immigrants. Preferably all those nations at the same time. Already, enforcement of immigration regulation is impossible in many countries. And the extent to which that regulation seems to be working might as well stem from the fact that most people, no matter how poor or desperate actually don't want to leave their home country.
Yes, theoretically, the U.S. immigration law (and many other countries', too) favors highly skilled jobs. In practice however, it is far easier for low skilled workers to just overstay a visa. In 2012, the U.S. paid $18 billion to try and enforce immigration laws. Still, there are anywhere between 7 and 30 million illegal immigrants in the country, despite all the effort.
Billions for law enforcement, not a penny for social services...
In modern states, you don't have a lot of choices either. But at least, even though you are "forced" into a society, you eventually get the right to participate politically.
Python is growing in popularity, and in the majority of cases it is used as the "primary" language now. That's why "scripting" is a misnomer, even if technically CPython is not compiled to machine language.
Back in the day, languages called as such where so slow, that there was a feeling that they were used "in lieu" of "real" programming languages. They were there to extend "real" software.
Today? Much the opposite. Computing power is almost always cheaper than brain power, and we use C to extend Python rather than the other way around.
For that matter, I think Go is great for networked infrastructure, but bad for interfacing with other languages and still significantly harder to learn than Python, Julia and R.
That is why I caution on the use of Go in projects which have "scientific" bent to them...
The minimum wage on the other hand is meant to make someone able to feed themselves and maybe even a family. Especially when holding multiple jobs, such unpaid overtime, even just opening/closing a shop can cut into that ability in a serious manner.
For that matter, the kind of shenanigans employers pull with on/off time and wage theft mostly happen on the books. Even employees don't necessarily know if and how they are cheated on at any particular point in time.
At best, "wage theft" could be considered "wage fraud", with a slightly better connotation (if at all).
We're not really talking about middle-class workers who think their boss is a douche.
It is a bit exploitative of the immigrants, by which I meant that the companies use the strict/stupid US immigration system as leverage. But citizens or taxpayers in the US have no reason of complaining. Maybe these H-1Bs are preventing an entirely cut-throat competition for talent, but on overall, those people add to the economy, and in a big way. Anyone who earns like 100K a year creates numerous other jobs and pays a lot of taxes...
Because of its small population and northern location, it essentially has to import much of its agricultural products from the EU, and thereby accept most of the EU regulations and academic degrees without having the slightest say in the matter.
Algorithms and data can only improve effectiveness of these systems and agencies. However, their use has been combined with drastic funding cuts. These cuts and the resulting malfunctions aren't exactly a fundamental problem with data science.
And yes, then the participants have to pay to attend. They might even have illusions on their employment prospects. If they were to attend an actual physiotherapy course, things may be different. The problem with these types of programs in Germany is that they are mostly privately funded. That is a problem yet to be addressed.
People tend to attribute the "being stuck" in welfare to the welfare system itself. That may happen, I just don't see it as a significant factor. The subsidizing of low-skilled labor is a different problem, and is partly addressed by the recent minimum wage.
The US is an entirely different place. Lower unemployment, but there, even many employed workers have a much harder life and live in poorer conditions than jobless Germans. Full Healthcare, and mostly free education, for starters.
In Germany, welfare payments are reduced by some amount when poeple refuse to comply. That can be things like refusing an education program or a job offer. These sanctions may not be enough to overcome psychological factors, but it is enough to rule out financial reasons for refusing.