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Crémieux Profile picture
@cremieuxrecueil
Mar 12 • 7 tweets • 4 min read • Read on X
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What you see here is called "lying"

It's what happens when someone's anti-competitive protections are under attack

CON laws are insane. Basically:

If you want to open a new medical practice somewhere, you have to get your potential competitors to sign off, saying you're needed Image
If you want to add beds to a hospital, build facilities, purchase diagnostic scanners, but you live somewhere with CON laws, then you have to prove you're not creating competition for other medical facilities in the area, which is often the whole state.

No. Competition. Allowed. Image
The idea behind these laws is that people will spend excessively on healthcare, so to combat that, we'll have people report if there's more spending needed before approving it.

'A bed built is a bed filled' is the old adage.

But no one considered the obvious bad incentives. Image
Who does the state ask to determine if an area has a 'need'? Local doctors, practices, and health departments, and sometimes the CON committee just makes up a judgment.

They ask your competitors if they need competition, and if they say no, then you cannot operate in their area. Image
Places with CON laws have fewer hospital beds, fewer rural hospitals, greater drive times to get medical care, and higher cost medical care.

These laws have led to countless headlines like this, where a town tries to build a hospital and another hospital goes 'nah, fuck you': Image
Cui bono?

In case it wasn't obvious, it's the people who get to say 'no' when the state asks if an area has medical need.

For example, hospital CEOs got a ~$91k/yr pay bump due to CON laws. In 2026, that's about ~$135k/yr from blocking competition and hurting the populace. Image
IMO? Ban these laws nationally. They are anti-competitive and they hurt Americans while driving up medical costs and empowering unions to do more evil.

Sources:

mercatus.org/research/data-…

mercatus.org/research/worki…

nytimes.com/2018/09/05/us/…

pubmed.ncbi.nlm.nih.gov/21812351/

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More from @cremieuxrecueil

Crémieux Profile picture
Jun 1
My Uber driver says

- His license is suspended
- He was once a soldier for a Mafia family
- He's telling me about his time in Rikers
- He's showing me YouTube videos
- He's telling me his theories about Jews
He's telling me about gang wars he was in ad a kid.

He's wondering why all the Chinese girls are lined up - for an audition?

He says to go to Mother's Ruin for latin prostitutes.

All of this entirely unprompted.
"Yeah, these African guys, yeesh"

"I couldn't fuck that whore because I got the erectile dysfunction."

He just keeps going.
Read 6 tweets
Crémieux Profile picture
May 29
This is just not true and it's sad that people believe it.

It's also indicting, when it's so obviously false if you just look out into the world. What you see should match what the statistics clearly show:

Estimated marriage effects for men and women are almost always similar🧵 Image
In that chart, I used the GSS and found something many people replicate:

1. Cross-sectionally, there's a relationship between being married and life satisfaction. It's similar for men and women.

2. Within persons—causally!—marriage boosts life satisfaction, but more for women.
Leveraging the same within-person design, we can use the Add Health dataset to look at stress and depression.

For both sexes, the effects are indistinguishable.

But they're also mostly not real: it's just that people who get married tend to be less stressed and depressed! Image
Read 10 tweets
Crémieux Profile picture
May 26
As a recap on my appearance, Eli Lilly is pursuing:

- A one-dose drug for preventing most heart disease
- A vaccine for chlamydia
- A vaccine for gonorrhea
- A vaccine for Epstein-Barr
- A drug that lets you stay awake longer and feel more rested

It's a golden age of pharma! Image
And remember, Eli Lilly's big break historically was the University of Toronto licensing them to produce insulin.

They started off by giving it out for free, saving the world's diabetics at a time when there was no treatment available.

They've always been a force for good. Image
I think

- The heart disease drug will succeed
-- Will it commercialize? It can, easily. But I'm 50/50 due to the competition
- Chlamydia and gonorrhea vax will succeed, but I don't see much commercial potential with Lilly
- EBV vaccine will fail with Lilly, succeed eventually
Read 5 tweets
Crémieux Profile picture
May 25
Eli Lilly has done it.

They've gone and made what seems to be a powerful, permanent gene therapy for LDL cholesterol.

That means they'll be able to effectively prevent most heart disease with a single infusion! Image
Almost all of the side effects were just things you see with any infusion. Some people react poorly to needles and having to sit for a while🤷‍♀️

And that's what we expect, because the people with good PCSK9 genes naturally are totally fine. This therapy catches the rest of us up!
This is amazing stuff, beating drug administration because it's permanent, and it only gets better from here.

We are going to get so healthy, so fast. Our grandkids are going to hear about heart attacks and have never actually seen one.

Source: nejm.org/doi/full/10.10…
Read 5 tweets
Crémieux Profile picture
May 24
Are White women the primary beneficiaries of affirmative action?

That's a real claim that's commonly advanced by journalists, and the claim has gone so far that it's even made its way into academic publications and policy.

But the claim is completely false🧵 Image
This claim doesn't make a lot of sense. After all, shouldn't the primary beneficiaries of affirmative action be the people who the policies primarily target?

In America, that's African Americans and, among them, women get an added benefit. How could it be Whites? Image
To figure out where the claim comes from, I started reading supposed sources.

Often enough, journalists will just take the claim for granted without providing *any* source.

It's just tacit knowledge now, and that's not good!

Then, when you hit a source, it's not supportive: Image
Read 13 tweets
Crémieux Profile picture
May 7
World War I devastated Britain and likely slowed down its technological progress🧵

The reason being, the youth are the engine of innovation.

Areas that saw more deaths saw larger declines in patenting in the years following the war. Image
To figure out the innovation effects of losing a large portion of a generation's young men who were just coming into the primes of their lives, the authors needed four pieces of data.

The first were the numbers and pre-war locations of soldiers who died. Image
The next components were the numbers and locations of patent filings.

If you look at both graphs, you see obvious total population effects. So, areas must be normalized. Image
Read 12 tweets

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