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Culture War Roundup for the week of December 2, 2024

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I was stunned watching many on social media celebrated the murder like they were celebrating the death of a terrorist. UHC is the largest provider of Medicare advantage in the country. We need better insurance, absolutely - but insurance is the only reason many can even afford basic care in the first place.

I think the principal evil is that health care providers are selected by employers, not employees. This creates a principal-agent problem. The employer is forced by law to provide health insurance, but their incentives are to go cheap without asking how they can offer health care so cheap.

As an intuition pump, suppose that federal law required employers to provide employees with a vehicle. Car makers specialize to provide cheap, shitty vehicles. Often they don't start, in any accident they become burning death traps, et cetera. The employees who can afford it pay through their nose for a solid car. Some go into debt to afford a private vehicle which meets their basic needs.

And then here you come along and say "CrapCars is the reason why many Americans are mobile in the first place." You might be technically correct, but you are missing the bigger picture.

Don't trust me, read Scott:

The Muslims claim Mohammed was the last of the prophets, and that after his death God stopped advising earthly religions. But sometimes modern faiths will make a decision so inspired that it could only have come from divine revelation. This is how I feel about the Amish belief that health insurance companies are evil, and that good Christians must have no traffic with them.

This is a medical professional who at that time was making his livelihood from health insurance. Often his world view clashes with random people on the street, who have reflected less on issues than him. Here, they happen to align.

So yes, your typical health care company is somewhere between a slum lord and a peddler of CSAM, morally speaking. All the jokes about 'unfortunately, my thoughts and prayers were not pre-authed' and system coverage are totally on point.