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The thing holding many people back from doing this is health care - Americans predominantly get their health care through their employer and the options on Obamacare are not cheap. Another reason socialized health care would benefit this country - it would boost the number of entrepreneurs and small businesses. Socialized health care desperately needs a rebranding - instead of "Socialized Health Care" or "Medicare for All", it should be called "Entrepreneur Focused Health Care" or simply "Freedom Care".


That does not seem to pass the smell test for me. Do we see a greater percentage of entrepreneurs from Canada or Europe than from the US? I didn't look up hard numbers but I doubt it.


> Do we see a greater percentage of entrepreneurs from Canada or Europe than from the US?

Yes, if one uses self-employment as a proxy for entrepreneurship. The US trails Canada and Western European countries in self employment as a percentage of the labour force.

https://data.oecd.org/chart/6xG6

Edit: the US has the lowest rate in this OECD dataset.


Here's a dirty little secret … and I know this is going to upset many of the statist types … but vast majority of those OECD types of datasets are so utterly polluted that they are essentially useless beyond the broadest of strokes. Just alone the definition and the application of that definition and the capacity to accurately capture the data alone produces excessive inaccuracies that in essence rely on the formality of the process and the institutional perception as a means to claim or even just project assumed authority and accuracy of the data.

To put it in a different context; the self-delusional con job that was the lie about how wonderful and amazing the Afghan national army was for the last about 10 years minimum, is a perfect example of just how broad, deep, and long a blatant fraud can be perpetuated in such an open and overt manner, all underpinned by all kinds of shiny presentations and back rubbing soliloquies.

It's all fake. I know that makes people's cognitive dissonance flare up, but that's the uncomfortable truth. The emperor in fact has no clothes on, nor do any of his courtiers. We will see how long the charade can last.


If your point is "lies, damn lies, and statistics," then I guess I can't argue with that.

If your point is something more specific about OECD self-employment data, or the processes and practices for a specific or category of "OECD types of datasets" or general practices of society-level datasets...I encourage you to make that point, and give others something to work with.


Dirtier and Secreter: People's cognitive dissonance would flare way up if you shared convincing evidence that the OECD or the similar bodies fake their self-employment data.


Self-employment isn’t a good proxy for entrepreneurship. Many (most?) entrepreneurs are not technically self-employed in the US. In Europe, there is a strong bias toward being an “independent contractor” because that is almost the only way to earn a top wage, whereas in the US that is entirely unnecessary since normal companies readily pay regular employees top dollar if they perform.

Being self-employed in Europe is a product of the reality that companies are willing to pay contractors much more than the equivalent employees. If you are highly skilled, being self-employed is the only way to earn what you are worth.


>New research shows that 44 million workers—or 28.2%—were self-employed at some point during a given week in 2019.

Much of it depends on how they define self employed. "Contract Work" doesn't count as self employed for the government.

>Those figures appear to go against other surveys showing huge growth in contract work, which is transforming the U.S. labor market. A survey conducted in December by NPR/Marist found that contract work makes up 20 percent or more of the U.S. workforce.

>Why the seemingly large discrepancy?

>Many point to the government's methodology. The Labor Department, for example, did not include people who augment their income through contract work


With what, 60 million gig workers in the US? Around 38% of the labor force, I think- you'd think the total self-employed number would be higher.


Gig workers are not self-employed. They don't pass the IRS 20 factor test. And that's why governments are cracking down.


Different countries may have different standards for that, though. So it may be hard to compare this data between different countries.


How are people with multiple jobs counted? I’d imagine the gig thing is generally not primary.


Interesting data set. Norway and Denmark score surprisingly low; lower than Canada, only just above the US. Colombia is the extreme outlier on the high end with 50%. Netherland is in the upper third with 17%, but is the second highest wealthy country (after New Zealand). Most countries of similar GDP/capita have a far lower amount of self-employment.


How much of that, especially in Europe, is simply a way to bypass the ever increasing burden of regulations around employment?


In Belgium, once you reach a certain pay (roughly from 100k euros yearly onwards), it reduces tax burden for employer and employee when employees become independent contractors.


In the US, IIUC, the IRS won't let you (employer, employee) do that.


The Dutch tax service keeps trying to figure out new rules of how to distinguish between true self-employed people and fake self-employeds who basically function as regular employees, but without the rights and benefits of employees. This is mainly meant to protect excessive exploitation of low-paid (gig-economy) workers, but it certainly limits my options as well.

I'm self-employed and tend to work for a single client at a time, usually on projects of between half a year and two years. I work on a team with employees, doing similar work, except I'm more empowered, more in control of my own way of working (also because the tax service demands that, which is good in this case). I'm not being exploited the way employees or gig workers are. And if the government thinks this is some kind of tax loophole, I'd happily pay more tax, as long as I can continue working this way.


That question really makes it sound like you have an agenda.


Many Europeans told me they preferred hiring contractors early on because the potential cost of a bad hire was just too much for a startup.


For a startup you probably don't have the capital / financial support to ensure redundancy packages etc.

If you need someone to come in on your greenfield project and hit the ground running, thats what contractors are usually used for; the beginning and the end of the lifecycle.


It really doesn't have too much with regulations etc usually.

For engineers for example, you will earn higher income and pay less tax, different rates. And larger companies usually have a set asside budget for contractors.

Its easier as an engineer as its never hard to find another job. If this wasn't the case, you would see a higher percentage of employees who require job securoty.

Nothing to do with regulation from my experience, just better pay and more flexibility.


In Sweden, many software engineers work as contract engineers for better pay. Salaries for hired software engineers in Europe are dismal.


> Salaries for hired software engineers in Europe are dismal

I strongly disagree, it might be all relative of course, but dismal is not a word that would even come close.


No, they're still solid jobs compared to what lots of other people get paid. But managers and other corporate types still get paid a lot more. And self-employed, you can also get paid that much, just not as an employee.


That whooshing sound is the goal posts moving


Close to none. Companies love to have employees.


>The US trails Canada and Western European countries in self employment as a percentage of the labour force.

I distinctly remember being told by an Austrian I met once that they need a sizable amount of liquid assets up front before they can even qualify for operating a business.


Startups are not the only entrepreneurial business.

Running a small business like a store, farm, etc without a spouse that carries the insurance is insane. Even businesses like bars and restaurants over time have tipped to larger or even public companies.

When I was a 1099 consultant, I had a heath issue that would have bankrupted us if my wife wasn’t working for a municipal government with good insurance.

You see more of these types of businesses in Europe.


I can say that my health insurance (as an independent worker with Healthcare.gov plan) costs more than my home mortgage and utilities combined. A significant amount more; and I still pay down a $10,000 deductible on top of that before any reimbursement kicks in.


Even as anecdata, I see a few issues with this comparison. For one, part of your mortgage payment is simply a repayment of loan principal, which is not a cost of living. Only the interest portion might be considered a legitimate household expense.

Second, with a $10K deductible, it sounds like you have a HDHP (high deductible health plan), of which the main feature is lower premiums, and also the ability to fund an HSA (health savings account) for additional tax savings.

Even with your deductible, a wide variety of basic and preventive health services are available for free to you under ACA's minimum essential coverage provision. For example, see this list [0] for all adults, along with a similar ones specifically for women and children.

[0] https://www.healthcare.gov/preventive-care-adults/


Another axis to look at is the US over time (which also has less confounding with other differences across cultures). Looking at the graphs in the article, it appears Obamacare may have stopped the decline in self-employed workers. And since Obamacare started, the number of (likely) business applications increased steadily, doubling over 10 years. Unfortunately that graph doesn't go back in time far enough to determine if that's a deviation from a previous trend or not (it looks like it was increasing at a similar rate just before), but it's at least consistent with Obamacare helping slightly.

What's more striking is the 50% jump in business applications around the time of covid. Maybe that's in part due to stimulus?


> Do we see a greater percentage of entrepreneurs from Canada or Europe than from the US?

Don't know about Canada, but in my neck of Europe (Slovenia) it seems everyone who is ambitious defaults to entrepreneurship. Because it's the only way to advance or get anywhere interesting at all. And almost everyone has a sidehustle or two.

To the point that a while back the government had to crack down on sidehustling and associated grey economy. Laws like not being allowed to "help your neighbors" build a house.

Now I live in San Francisco and the entrepreneurship spirit is much less. Tech just pays far too well for most people to faff around starting their own thing. To quote a friend of mine "Dude, I'd be stupid to start a company right now! Have you seen how much companies will pay for my skills? wow"


Canada at least is an extremely risk averse place.

I can’t even get people up here to try new startups that Americans will download and try at the first suggestion.


Is that risk aversion, or something else though? I find Americans much more primed to consume and try new products.


> I find Americans much more primed to consume and try new products.

Well, yes. Because Americans aren't very risk averse, and are pretty strongly novelty-seeking.


It is just one example. There are numerous.

Canadians have a pastime of whining about our Big 5 banks. Nobody ever switches to another bank.

Same with telecom. We complain about the prices. Nobody tries their competitors like Freedom.

I hear stories of students joining startups in the USA over FAANG. Here many people do startups to boost their resumes for big company jobs (I was part of a startup accelerator where a lot of people were resume building). I know people doing this now. Building startups to be more employable by Amazon.


> Canada at least is an extremely risk averse place.

That also seems to be the case for investments.

Everything seems to be centered around "safe" businesses with proven track record or just real estate. There's no VC putting money on a crazy idea (and they getting a home run one time out of 10).


How nationally representative and/or comparable are your samples of Canadian and American people?


Anecdotally, healthcare benefits did factor in to my decision making when I thought about opening my own shop. I have two small kids and decided at this point in my life I’m going to stay put instead of starting something.


Anecdotally, I’ve kept multiple jobs longer than I’ve wanted because they had good health insurance… I also switched jobs to have kids using better insurance


I think there really is something in American culture that fuels entrepreneurship. Maybe it's the puritan and "prosperity gospel" roots.

It would be interesting to see a comparison of entrepreneurship between US and Canada in the early 1900s before health care and especially job sponsored health care were so common.


>Maybe it's the puritan and "prosperity gospel" roots.

No, the puritans (and Europeans in general) considered bankruptcy a moral failing and it was punished with societal banishment and prison.

The United States invented modern bankruptcy law. States have taken it a step further and protected most major assets from being seized in a bankruptcy (house, car, certain amounts of cash), so the absolute worst case from failing is that you dust yourself off, wait a few years and try again. It's just part of the culture now.


There's also the fact that, in America anyone/any family can make it and even become president/senator. It's by the American people and for the American people. Just look at the Kennedys.

In Canada, you look at the country's history and even its current head of state and... it's a foreign non-elected monarch. The other head of state is non-elected as well and is supposed to be a representative of the crown. Same thing for their senate, all nominated. Even until recently, the highest court of the country was... in London! That would simply be unthinkable in America.

This kind of things permeate aspects of life; there is this notion that there is a natural order of things and that people are born into certain roles. And it also seems true in the business world; Banking and Telecom, for instance, are fiercely protected and have an almost impossible moat to surmount for a competitor to come and disrupt the market.


It's not the only factor: Americans culturally value entrepeneurship very strongly. People love the idea of being your own boss or starting your own business, and telling friends that you plan to do this will generally garner positive comments (often times even if you fail).


> Do we see a greater percentage of entrepreneurs from Canada or Europe than from the US?

Different cultures. Different mindsets towards entrepreneurship and individuality.

It shouldn't pass the smell test as you're smelling three different things :)


I think it’s simply confounded by all the other regulations those countries have.


It would be really hard to pin the causality of something like this... some of the most 'entrepreneurial' places in the US are some of the 'bluest' areas


How does this correlate with the population of educated people, and people whose spouses have health coverage? Red / Blue does correlate to education level.

There could be other correlations as well, including having the technical ability to create something of marketable value, management experience from a previous job, a certain level of financial / career security, family members willing to invest, etc.

Blue areas may also be slightly more prosperous, creating a local market of customers (people and businesses) with money.


> some of the most 'entrepreneurial' places in the US are some of the 'bluest' areas

I'm not sure how you reach this conclusion.

"Screw this I'm starting my own business" is far, far more common in the blue collar world than the white collar world and they tend to vote way redder.


You could be right, I am thinking of California, but that's a very tech-centric position and I admit to my bias.


Right, but this correlation with "blueness" is, I think, accidental and doesn't account for small businesses.

For example, I would expect more small local businesses in red states than blue states. The tech sector will favor large corporations because of the magnitude of investment involved, at least traditionally (if we are to believe the "economies of scale" explanation; some challenge it, but at the very least, it is causally relevant). So you might see more startup entrepreneurship in blue states because that's where the tech expertise is already concentrated. And because those in tech tend to have college degrees at higher rates, and colleges tend to encourage neoliberal and left-leaning views, you should expect to see more tech in blue states because of that, so you have a self-reinforcing process (there are of course other considerations).

But I wouldn't attribute entrepreneurship to the presence of social programs. On the one hand, those who need social programs are not going to be very educated and are most likely going to be much more interested in making basic ends meet over some business venture. On the other hand, once they receive social benefits, they are often not very motivated to try to start a small local business like a food cart either since they have food on the table. So you need to appeal to cultural factors to account for motivation as well.


The base hurdle to be entrepreneur w family is $2.5-5k rent + $2k health for family + food and clothing per month- just to break even.


Agreed it seems a paradox.

Maybe it really is socialism kills entrepreneurial spirit. If you can be an artist or a 35hr/wk public servant and live well, why bother being an entrepreneur?


> If you can be an artist or a 35hr/wk public servant and live well, why bother being an entrepreneur?

Maybe because I don't want to be a public servant? I mean, it's important work that needs to be done, but the impression I get from my wife is that it involves a lot of bureaucracy.

If we had a basic income or something like that, it would be much easier to take the risk to become an entrepreneur.


My take is that there is a whole culture side of things to consider. Some cultures will have a higher general opinion of entrepreneurs than others.

In Quebec, Canada you still see a lot of that mindset where a successful entrepreneur is more associated with a slimy businessman than a smart person. It's slowly changing however.


> In Quebec, Canada you still see a lot of that mindset where a successful entrepreneur is more associated with a slimy businessman than a smart person.

Historically, didn't the employees speak French and the bosses English?

From what I understood, there was very much a glass ceiling and discrimination, similar to what was going on here in the south. Capital wouldn't be loaned across ethnic lines for instance.

That might contribute to the perception of entrepreneurs being shady: they historically were there to fleece the locals, not build and prosper.


Israel


Does Israel have a lot of startups because of free healthcare or simply because it benefits from a culture that encourages startups? They also have a higher average education level which probably helps to some extent.

No saying that healthcare is not a factor, I just doubt that the parent's explanation that free healthcare is holding back would-be entrepreneurs is well-founded.


Right, you'd have to back this up with numbers, but if startups are considered, the US outstrips everyone else, certainly in the West.

The story is going to be more complicated. Ethos is an important factor. Some countries have cultures that are prohibitive or discouraging for entrepreneurs or encourage safety and comfort over risky pursuits, and working for a large corp is going to be more compatible with that than risking your neck to run your own business. I suspect countries that have national health care are going to correlate strongly with those which are risk averse and therefore less entrepreneurial.


Does it matter what we see in Canada our Europe? I wouldn't surprised the USA has a highest percentage of entrepreneurs because of multitude of other reasons than healthcare such as capital, regulations and values/spirit. I also believe free healthcare would decrease the barrier to entry to starting a company, it would make the USA an even bigger entrepeneur centric country. Now, would the USA be better with universal healthcare in general, I am not sure. I live in the USA (almost 6 years), born, studied and worked 6 years in Canada.


> Does it matter what we see in Canada our Europe?

Well yeah… if we’re going to repeat the same thing and expect to see a certain outcome, we had better see that outcome where this has already been implemented. It’s the closest thing to a crystal ball that we’re going to get.


Health Freedom

"Freedom Care" sounds like an oxymoron. If you need "care" you are not "free".

It's not about "care", it's about risk mitigation. You are not sick now, but you have no idea when you or one of your dependents might become sick and need $$$.


The care frees you from the burden of illness.


While a good premise, I don't believe it holds up. Healthcare is just one facet.

Far and above is the lack of paycheck which encompasses healthcare.

"If money was no object, what would you be doing?" The question isn't, "if you had your healthcare covered, what would you doing?"

The answer to the first question effectively never, "working for my current employer". For the 2nd question, it's still plausible.


This. Health insurance is indeed quite expensive in the US but, from a self-employment standpoint, it is just a cost like any other. You can get good health insurance for a family of 3 (middle aged parents of a teenager) where I live in the US for around 25k-30k/year, including the out of pocket costs for moderate usage. This is less than rent for said family in a lot of the big US cities.

Nobody wants to "pay rent twice", and it can certainly be a lot harder to stop working when you have a big recurring expense like that, but it's possible to plan for it. Depending on the business you're getting into, it won't be your top expense.


I think another major reason holding people back is consistent cash flow. If you know you can lock in 6 months of work at a time and not worry about cash flow, that would give a lot of people a reason to jump quite easily.


Having done this myself, I don't really see it. Yes, health insurance is expensive, but I can also bill substantially more than my non-US counterparts can in their respective countries. Even with paying for health insurance myself, I don't see how I'd come out ahead in any other country right now unless I relocated and kept my working hours / client base in the US.


Sure once you have solid revenue and a repeatable business model, but it certainly costs enough to have an impact on people just starting out. When I quit my job to work for myself in 2019 I was choosing between $600/mo COBRA or nominally cheaper marketplace plans with absolutely terrible coverage, just for myself. I had plenty of runway and software development is in demand so it wasn’t a huge burden, but with a family it could easily have cost $2k+/mo. I’m sure that’s enough to dissuade people from trying new things, especially in niches where it takes longer to get to profitability.


I am not buying this - you can get very good insurance from the marketplace for $400-$500/month (I pay $445/month)


You are getting down voted because $445/mo is too high - especially for couples with a child.


Also because it's not very good. Anybody that thinks it is hasn't seen the quality of the doctors that take that instance. It's noticeably lower.


I disagree. $445/mo for a healthcare policy for a family would be cheap. Likely cheaper financially to a young family than the tax impact of socialized healthcare would be to them.


Your comment got me curious, so I looked up per-capita annual cost of the NHS (the socialised healthcare system in the country where I live).

The latest official data says "In 2017, the UK spent £2,989 per person on healthcare, which was around the median for members of the Organisation for Economic Co-operation and Development."

This is about US$330 per person per month.

(I don't have any point to make. Just thought I'd share the data I found.)

https://www.ons.gov.uk/peoplepopulationandcommunity/healthan...


My mother working at Walmart pays $60/month since the rest is paid by the government. If you’re starting something, you probably won’t have income so the cost goes down for you too.


The challenge with almost all government subsidies is that you need a tax year of little to no income before you can qualify.


The thing holding even more people back is lack of skill and education to strike out on their own.


Yet countries like Canada who have universal care are less entrepreneurial.


But the mind set strangely is super conservative in that regard. I've struck out and done my own business and most of my regularly working Canadian friends thought (and still think) I am crazy. Effectively most people in Canada work quietly for years to retirement and then...retire. It's pretty safe and easy -- though ultimately super boring.


I mean, the vast majority of Americans do that, too.

Entrepreneurship and self-employment are scary.


It is true. Definitely not for the faint of heart.


Healthcare options were a major deciding factor when I pursued entrepreneurship in 2011. Ultimately we decided that the Massachusetts options at the time had sufficient coverage given we didn't yet have children, but the plans were significantly cheaper than today and employer packages offered higher degrees of security.


Options for individual and family healthcare plans in many of the less restrictive states don't stop at "Obamacare." While not for everyone, Short Term Medical is a viable option, many times much more attractive than IFP ACA plans as STM plans typically ride on a national network whereas "Obamacare" plans are typically EPO plans that are geographically limited.

It's a commonly held myth that bigger companies offer lower premiums to employees, that is most certainly not always the case.


> it would boost the number of entrepreneurs and small businesses.

Agreed. But this is exactly why it's been slow (read: impossible?) to happen. Big Inc has no interest in seeing the status quo change. High healthcare premiums keeps all but the bravest chained to the system.

Even the ACA never lived up to its own name. Never. We all know this, yet no effort to fix it, adjust it, etc. That says a lot. Actions speaker louder than words.

Let them eat ACA.


ACA has accomplished a lot of what it was intended to, despite multiple efforts by some politicians to sabotage it at every turn.

"Today, the U.S. Department of Health and Human Services (HHS) released a new report that shows 31 million Americans have health coverage through the Affordable Care Act – a record. The report also shows that there have been reductions in uninsurance rates in every state in the country since the law’s coverage expansions took effect. People served by the health Marketplaces and Medicaid expansion have reached record highs."

https://www.hhs.gov/about/news/2021/06/05/new-hhs-data-show-...


Just to clarify, yes it has done sone good. Unfortunately, it's not living up to its name. Affordable it is not. Furthermore, it's not making us any healthier. The healthcare system has been the single largest beneficiary of ACA.

Note: I'm not against a national plan. But the current implementation is a mess.


ACA was designed from the get go to fail and to be hated. Goal was to soften the public up on the idea of single payer as the solution to the problems that the ACA created.

The problem with the plan came when the GOP and Trump went and gutted the penalties for non compliance of the individual mandate. At this point I doubt Biden re-instates it especially with all the hubbub over the vaccine mandate. The optics would be bad bad, especially with the vaccine mandate and the ACA individual mandate disproportionately hurting younger working families.


Maybe fear of looking at health care premium bill every month. Healthcare can be found. Maybe it's not at a preferred price, but it can be found. Even post-ACA.

Source: me working for myself and paying healthcare premiums for self and family 2003-2018


I pay under $400/mo for a pretty good marketplace plan. That’s not prohibitive.


I just started at this startup and the Bronze "HSA" eligible plan for just me and my wife is over 500/mo. Maybe I should have left her off and went to the market lol.


Socialized healthcare might be much more amenable if it were single-payer but without subsidies. You pay for insurance just like you do now, except there's only 1 provider and it's the government. The primary benefit most M4A people tout is that costs would be lower under a single payer system. This makes that happen without the welfare leeching.

I and I'm sure many others are opposed to subsidizing people who decided to play video games and smoke weed all day with our tax dollars. If you're an entrepreneur, you're not harmed by this, you can afford to pay for it. If you're a small business owner, this should save you money. If you're disabled or old, you already get subsidized and would continue to get subsidized. Everyone else - pay for the services you receive.


I, for one, am sick of subsidizing people who will decide to play video games and smoke weed all day with our tax dollars.

IIUC, one of the best predictors of a person's earning potential (which we can of course use as a proxy metric for their worth to the economy) is the wealth of their parents. So, why not quit funding public schools? It's two birds with one stone: only those who choose to have children will be responsible for paying for the services they receive (viz. tuition for an education), and we eliminate a subsidy for undesirables who (statistically speaking) are much more likely to become welfare leeches.

That's what I call a win-win.

edit: rather horrifyingly, this sarcasm is going over people's heads (my fault, of course). See https://news.ycombinator.com/item?id=29388282


The sarcasm went over my head initially. Sadly, I think it is because your post is 100% something I believed I would find on HN.


I think you're forgetting that public schools serve a purpose other than enriching the wealthy. I have such a hard time with takes like these. Would you have public schools turning away children that can't pay?


It was sarcasm, intended to (at the very least) draw attention to the possibility of "throwing out the baby with the bathwater", and the perils of focusing on imaginary "welfare leeches" at the expense of general prosperity.

I almost added an /s, and perhaps I should have. haha


I hope you realize this is already the case. Property taxes are voted on locally and go to pay for local schools and there is vehement opposition towards redistributing funding for schools state wide. People move to certain cities where schools are known to be good (and no surprise, those cities also have lots of generous property tax-based and PTA-based funding for schools).


I might add that the people who can afford it move to those certain cities. But yes, you're right, we already do a great job making sure that not all children have equal opportunity.


Yeah you should have. I was about to comment on how toxic this kind of worldview is, but held back. At any rate, this kind of thinking ensures a world where opportunity is increasingly siloed such that even the best and brightest wind up losing for want of wealthy benefactors.


This is the internet, even if you were serious it wouldn't even be in the bottom quartile of dumb takes.


Thanks for clarifying, had a Poe's law moment there.


Do you want to live in a world where most people are completely uneducated?


so what about people who just cannot afford it? homeless, addicts, single mothers raising kids, collage kids, kids kicked out of home because of religious/abortions/pregnancy/LGBTQ/ect? do they just not get healthcare?


Last 3 categories can afford it if they get a job. Single payer proponents claim on the order of 10x cost savings compared to the status quo. Presumably insurance costs wouldn't exceed $200/mo under single payer. Amazon pays $15/h minimum nationally. That's a day and a half of work for health insurance for the month.

The first 2 categories need better help than healthcare insurance. I think it's plainly obvious after SF spending $50k/homeless person that more money isn't going to help them.


Ah good. I don't want to subsidize the health care of SF "entrepreneur" lads who want to sit around all day writing software nobody needs. If they want healthcare they can get a real job in an Amazon fulfillment center.


not everyone can get a job. not everyone lives where there are jobs. not everyone can move to where there is job. not everyone is capable of holding down a job. so I guess they don't need healthcare and we should just let them die?


> Single payer proponents claim on the order of 10x cost savings compared to the status quo.

Who's saying that? The U.S. pays about twice as much per capita as most other developed countries for healthcare which implies that a 2x savings should be at least theoretically possible, but I don't think there are serious claims of 10x savings unless you're talking about premiums for low-income people that are heavily subsidized.

> I think it's plainly obvious after SF spending $50k/homeless person that more money isn't going to help them.

The only conclusion I draw from that is that the money San Francisco is spending isn't being used efficiently.


So they just don't get healthcare? Or are you suggesting an additional welfare system to cater to those subsets specifically?


“The first 2 categories need better help than healthcare insurance. I think it's plainly obvious after SF spending $50k/homeless person that more money isn't going to help them.”


Yes, I read the original non-answer and was looking for a little clarification. If 50k isn't enough to help them, are you suggesting we should give them more, less, or none?


If below 133% of the U.S. federal poverty level, they are eligible for Medicaid, which does not require payment of premiums.

edit: s/medicare/medicaid/


Another huge thing is rent. A lot of these freelance businesses can be feast or famine especially at the start when its mostly famine. You also need space to do this stuff. Imagine if Steve Jobs and Wozniak didn't have access to a single family home garage and had to try and make do in a studio apartment.


Musk and his brother rented an office space and slept on the couch there.


Being able to afford rent for an office space is pretty tough for most people who can barely afford rent on their apartment while holding a fulltime job. Musk is the son of an emerald miner.


You have to correct the pharmaceutical industry for that to be effective. Capitalism works but we need to discover the rules at scale, similar to Physics. Seems like everyone agrees that the rules we know tend to break at scale.




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