galimaufry
Joined 7 years ago
Joined 7 years ago
The incentives are pro-social: insurance companies have an incentive to delay payouts, because their profits come from interest (they pay out more money than they take in) so the longer they can hold onto money the better. But that's reversed for this hypothetical loan issuer - they want to make the payout as fast as possible in order to earn as much interest as possible as quickly as possible.
And if there's a systematic tendency for medicaid advantage plans to deny claims that eventually get approved, and if you could predict which ones will get approved 'just' by really understanding what medicaid would approve, then this might be self-sustaining or even profitable?
But is this actually true, or just something that declining economic sentiment in the newspapers has led us to believe? People are consuming more food, more education, more square feet of house, more travel. My sense is that is surprisingly hard to find a quantitative signal that purchasing power has collapsed.
Maybe it is just that positional goods (access to the best neighborhood in the best city) get harder to obtain as the population grows?
Incidentally this is what I meant above, about the union being out of touch: unlimited sick leave makes staffing unpredictable, which makes work unpredictable and frankly dangerous, which makes guards take more sick leave in a vicious cycle. The union has weaker-than-expected motivations to fix this, because everyone with seniority does not actually work in the housing blocks.
1. There's a severe shortage of guards. Anything that could make working in the jails more attractive will help, and a 2-hour commute is not attractive.
2. Getting medical service, prisoners with court dates, lawyers, etc. on and off the island is really really slow.
3. The jail has insourced a lot of services (for example they run a large bakery). These get staffed by corrections officers. This both makes staffing harder, and the existence of these plum positions has weird effects on the politics of the corrections union (people with power in the union are not actually working as guards and are out of touch with the reality of the jail)
Moving to a model like the Tombs, with the jail directly above the courthouse, makes way more sense.
In addition, the buildings on the island need a serious revamp (e.g. there is no automatic access control, so every major door needs a guard physically standing there to let people through and climate control is broken). As long as you need to seriously renovate anyway, might as well just build a new jail where it should have been put in the first place.
Source: I read a lot of blogposts.
Well yeah, it is explicitly intended as a signal that investors can use to select virtuous companies.
(It's not a motte-and-bailey, that's about a particular sort of shifting goalposts)
(I am not a tax lawyer nor an accountant, but I have done this 4 out of the last 6 years.)
So, it's not really "you will own nothing and be happy about it", but rather "you will own 0.1% of 1000 houses rather than 100% of 1 house, and be happy about it."
... which actually seems like it might be doable with some macros? Those are beyond my ken right now, but the goal would be
@doubly_typed f(x::Number|Integer) = x
f(6.0) # Same as g(x::Number) = x; g(6.0)
@strictify f(6.0) # Same as g(x::Integer) = x; g(6.0)
Then you would use @strictify when running tests to ensure that the stricter types in your codebase are all compatible. But you'd still need to figure out what to do about return types and the help command...* Currently the US welfare agencies will provide ~any FDA-approved drug for someone with the illness for which the drug was approved
* In this case, they probably won't - in the worst case scenario it would double their spending on prescription drugs and seems unlikely to help anyone
* So this is going to sever the link between FDA approval and medicaid spending.
* Now you have an awkward situation where agencies that not really equipped to make judgements on dug effectiveness, and which are not insulated from politics, have to make those decisions.
This could all work out for the best in the long term but may also be very awkward in the short term.