Following this doctors appointment, I needed an X-ray. Again, referral was in the system. Open choice of 6 facilities to get it done. Booked next-day appointment. In’and’out in 14 fucking minutes. No paperwork, no copay, just healthcare.
This isn’t a perfect system. But it is so fucking superior to what passes for a healthcare system in the US that it is blowing my mind. AND I LIVED HERE FOR THE FIRST 25 YEARS OF MY LIFE. You don’t truly appreciate how rotten the US system is until you try a working alternative.
And this is me, Rich Person With The Best Cadillac Plan + Concierge Service, doing the contrast with simply the standard level of care available to every permanent resident of Denmark. Contrast to anything approximate to average to average and it’s truly abysmal.
But you can literally see the efficiencies. It’s plain as day how a country like Denmark can get away with spending half as much on healthcare than the US (~9% v 18% of GDP), yet deliver extremely superior outcomes on a national basis, AND still simply be pleasant to use.
The American healthcare bureaucracy is the capitalist reality of what Americans fear socialism would be like.
“I'm proud to be an American, where at least I know I'm free [to go bankrupt if I get sick/having to choose between medicine and food/navigate a insurance bureaucracy even Kafka would fear]”
Oh, and that X-ray? Just got the results AN HOUR AND A HALF AFTER THE TEST. Digitally delivered via my doctor in the national health app. I feel like I’m living in some wild healthcare future here compared to the 17th century barbarism that passes for American ambition.
Imagine if another country had a military that was this superior in efficacy and efficiency compared to the US?! It would be an instant national crisis. All funds directed to fix. No expenses spared. But curing people is just so boring compared to killing people.
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Now let's see how well that "haunt his dreams" part is actually going to hold up. Or if if it all just goes back into the freezer like 2008. A trail of squandered hope and missing change brought us here in the first place.
That's what's so difficult about this. Even with this win, which is good, it's extremely difficult to be optimistic for the American prospect. The problems are so enormous, the trajectory has barely bent, and the final destination is still a fucking abyss.
Rewind to 2008. The caliber of the candidate. The legitimate hope. The clean mandate of power across the board. The state of the union. All the cards were better then! The hand that's about to be played is worse in all regards, thus are not the odds so much longer?
The Rogan interview with Greenwald is an excellent antidote to the I CAN’T COMPREHEND HOW PEOPLE COULD THINK THIS WAY reactions that we are flush with right now. Highly recommend it.
But if you can’t be bothered to listen to people you’ve developed a fixed mental image of, feel free to dismiss* the recommendation with: a) Rogan has had guests I don’t like, b) Glenn spoke on Tucker Carlson, c) Something-something Russia, d) Something-something dudebro.
(* No need to echo these stock dismissals in this thread. Trust me, they’re not novel 😄).
Spelunking git blame on Basecamp 1 is a treat. I found the "initial" commit from when we jumped from CVS to SVN! Also, that's a 16-year span of commits. On an app that's still serving tens of thousands of users, making millions in revenue ❤️
There's something incredibly beautiful about the rise of both podcasts and newsletters in an age dominated by the walled gardens of big tech. Two basic forms of distribution that rely not on proprietary platforms, but on free and open standards, devoid of corporate lock-in ❤️
Two flourishing ecosystems that have successfully resisted the full captured by large corporate interests – regardless of the many assaults and attempts! – and which enable a legion of smaller and midsized businesses to thrive in support. This is the best of the internet!
This is the sparkle of a free market. The wide range of choice in clients and services. Independent creators and supporting companies alike able to literally run their own show. But it's not a given, in fact its a bit of an aberration, that we must continue to fight for.
“I keep thinking there has to be a reason they've suspended me, even though it could just be some algorithmic glitch or something”, we keep wanting to make sense of the algorithmic black boxes beloved by big tech monopolists. businessinsider.com/google-users-l…
But just imagine waking up and all your email is gone. All your receipts. All your letters. All everything. And there’s nobody to talk to, nobody to appeal to, nobody to correct the mistake. Now tell me again about how Gmail is “fee” in face of such a ruinous possibility?
The problem is that free only scales if it’s faceless. Automated. Algorithmically dispensed. There’s no margin for humanity or appeals or process when the price is nil. So you take your chances, and you hope the worst thing that could happen just doesn’t happen to you.
Speaking of shipping with @heyhey. We've been heads down working on HEY for Work, getting custom domains sorted, and we're finally getting some more invited companies on board. Here's the pitch. It's pretty special. hey.com/work/
The funny thing is that we originally thought this was going to be the whole product! But @jasonfried smartly made the call to go with something for individuals first, since the stakes of a company move are so high. You want to try it out first, for real. Personal allows that.
We still have more work to do! Also working on how we can deal with custom domains for personal use. How we can allow someone to use HEY with a corporate email where they don't have control over what system is used (we call this "rogue mode").