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.
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.
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.
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':
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.
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.
Amy Wax got in trouble for remarking that she'd not seen a Black student in the top quarter of a Penn Law class.
Thanks to hacked Columbia data, we can see that she was...
Probably right!
In the decade before her statement, there were just two top-25% Black students.
It is *totally* plausible that she never met these students. And it's also plausible that she rarely saw Black students in the top *half*, because each year, the number of them was just 1-4.
But, despite being 8% of the class, they were ~40% of the bottom 10%-ranked students:
Note: Penn is on-par/slightly less elite than Columbia, so it's likely that the Black students there were somewhat *worse*, as the article notes, making her claims more likely.
This all comes from @zagrebbi's latest article. It's well worth a read!
Big day if you think Roe v. Wade was correctly decided.
My favorite part (note that I've only read 150 pages so far) was Thomas explaining that, no, the Founding g Fathers did not adopt the English feudal system.
This fact was clearly lost on the other side.
The Court's reliance on a random remark from a case that ultimately didn't even produce lasting changes raises the question of whether that sort of thing even matters.
Why shouldn't I cite the Dred Scott case as the law of the land?
- 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."