N to the O

Ask the grumpies: Why is healthcare getting more expensive in the US?

Two things are the primary drivers of healthcare cost increases in the US: 1. more expensive technology and 2. as people become richer, they demand more/better healthcare.

NOOOOOOOOOOOOOOO.

Let me say that again:

NOOOOOOOOOOOOOOOOOOOOOOOOOOOO.

Those reasons are absolutely not why health care is getting more expensive. They contribute very little to increased costs. The two causes they state are not even in the top eight or ten reasons. Perhaps not even in the top 20.

At least one of the people who writes on that blog (perhaps both) is an economist, too. Not shocking, I guess, to be totally, idiotically incorrect for someone in that field.

Health care is getting more expensive primarily due to insurance. Insurance itself is inflationary, and it’s the prime driver of health care costs. For a similar reason — that is, student loans — secondary education is also increasing drastically in price.

Some other factors are health care corporate consolidation, lax regulation, bureaucratic costs related to insurance, patents, crowding out by the affluent, doctor training being too expensive/intensive, thus causing a lack of supply, and a few other factors.

But it has very little to do with those stated reasons, at least not directly.

I need to stop reading that blog. It’s bad for my mind, or any mind, because it’s usually full of bullshit.

Off world

I got a new car. More on that later. But it’s one of the ones with a relatively-large screen in the front.

As I was driving along today, a song played. This car grabs the album covers associated with each song from a database automatically. More than a few albums I listen to have naked people on the front, as this one did. Specifically, it was Sky Ferreira’s album Night Time, My Time which if you scroll down the cover in full can be seen here.

I don’t really want to disable the feature as I like it, but I realized that now I have to be extremely, extremely careful with this when any female co-workers ride in my car, which happens somewhat often when a group of us goes to lunch. Or any co-workers period, but I’m far less likely to be seen as harassing a male, or be reported for such.

My best bet is to make sure the infotainment system (damn, I despise that word) is off completely before anyone I don’t know really well gets in the car.

I hate having to worry about things like this, but we live in a culture of offense-taking. The off chance that I guess wrong about when to turn the stereo off could destroy my life.

Strange world.

Indefensible

All of this concentration on Russia and pissants like Donald Trump Jr. is going to look awfully stupid when the Democrats have no strategy and no chance of winning in 2018 and 2020.

But of course, that is the goal. Keeping the current Democrat power structure right where it’s at is the point, not some side effect.

The Russia and Trump tweet stories are a brilliant distraction from and preventer of leftist reformation of the party.

That is the real story, and the real tragedy.

It’s the software

It’s the software that’s holding us back in the AI realm, not hardware.

Kevin Drum does say things that are incredibly smart at times as long as he stays away from economics, the stock market, or related. It’s why I keep reading his site. Or at least skimming it.

If anything, software has more potential for exponential growth right now than hardware, and lots of people are working on this.

For probably 20-30 years, lack of software has been the main hindrance of AI, not hardware. We’ve had good enough hardware for near-human-level AI for a while now, but not the first clue how to produce software to run on it.

Also true:

As for the argument about sociability, I find this even more baffling. It seems to spring from a desire to believe that there just has to be something unique about human beings. I donโ€™t really see why. The human brain is, in a sense, an existence proof that itโ€™s possible to construct a human brain. But if itโ€™s possible at all, why shouldnโ€™t it be possible to construct one using solid state electronics rather than organic chemistry? And if itโ€™s possible to build one using solid state electronics, why shouldnโ€™t it be able to learn sociability just like human children do?

By the way, all the hoopla you’ve heard about processor speed improvements and Moore’s law? While not unimportant, algorithmic optimization has absolutely trounced any hardware-based gains. It’s not even remotely close.

The algorithms that we use today for speech recognition, for natural language translation, for chess playing, for logistics planning, have evolved remarkably in the past decade. Itโ€™s difficult to quantify the improvement, though, because it is as much in the realm of quality as of execution time.

In the field of numerical algorithms, however, the improvement can be quantified. Here is just one example, provided by Professor Martin Grรถtschel of Konrad-Zuse-Zentrum fur Informationstechnik Berlin. Grรถtschel, an expert in optimization, observes that a benchmark production planning model solved using linear programming would have taken 82 years to solve in 1988,using the computers and the linear programming algorithms of the day. Fifteen years later โ€“ in 2003 โ€“ this same model could be solved in roughly 1 minute, an improvement by a factor of roughly 43 million. Of this, a factor of roughly 1,000 was due to increased processor speed, whereas a factor of roughly 43,000 was due to improvements in algorithms! Grรถtschel also cites an algorithmic improvement of roughly 30,000 for mixed integer programming between 1991 and 2008.

Also unknown to most, we are still making such algorithmic improvements today.

This will not get us to AI but it is part of the path.

The world will change more than most people realize in the next 50 years. Perhaps not for the better, but it will certainly not be the steady state that is now imagined — not in the realm of AI, nor in climate change, nor in biotech.