No that's the thing, you can't get the treatment if it doesn't exist.
For the years that i was living in Ontario there were only 3 MRI machines across the entire province. The waiting period for that diagnostic MRI ranged from anywhere between 10 and 24 months. If doctors were even convinced you were worth getting it.
You could die from something before you could even end up getting properly diagnosed with it.
You might not have competent enough doctors in some countries for specialist treatment if you need it. A popular Canadian Youtuber who lives in Japan (which generally has great medical care) decided to relocate to the United States during the time they were undergoing their particular cancer treatment a couple of years ago. Japanese yakuza bosses pretty famously obtained their illegal organ transplants at UCLA Medical instead of in Japan...
The US's system is certainly flawed but it guarantees that you can obtain the best care possible if you can afford it. That's much better than not being able to get the care even if you can afford it.
> For the years that i was living in Ontario there were only 3 MRI machines across the entire province.
Jesus. I've got more MRI machines than that within walking distance of my house.
It does seem to have improved significantly, as in 2020 Ontario had 124 (which made it the best provisioned province at the time). When were you there?
Do those machines operate 24/7? I'm Canadian and get regular (publicly funded) MRIs as part of my healthcare needs and they always happen on time, and close to home. Zero issues. Sometimes you get appointments at weird hours but that's because they run them constantly.
We could definitely use more and our healthcare system could definitely use serious improvements, but the way it's talked about amongst Americans often seems a little divorced from reality.
Is that not two different tradeoffs? One is first come first serve and the other is purely if you have the resources at the time? The only people I see that praise the "guarantee if you can afford it", are indeed, the ones that can afford it.
Soviet bread lines were first come first serve too and I don't know any former Soviet state residents gushing about how great those times were. Those 3 MRI machines that I mentioned had to service 1/3 of the population of Canada at the time -- about 10 million people.
Saying "oh that's just first come first serve" is totally missing the fact that the service level can be woefully inadequate.
What's really crazy is that I live in a small city of about 100k people and there are about a dozen hospitals that I can choose from, first-class trauma centers, multiple renowned research centers (affiliated with three different universities). None of that is counting all of the urgent care and other facilities in the area.
I have an order of magnitude more options for treatment than I did when living in New York City...
The only way I could open myself up to more/better care options would be to move to Texas.
Life expectancy is, perhaps counterintuitively, not highly connected to health care. The major factors contributing to the gap between US and Canadian life expectancy are car accidents, homicides, and cardiovascular disease, and CVD differs wildly depending where you are in the country; there are states that lead the G7 in CVD outcomes, and others (like Mississippi and Alabama) that look like developing-world countries.
None of this is to defend the US system in particular, which wildly overspends on the outcomes it achieves. But generally, when it comes to managing chronic and acute health conditions, those outcomes are very good.
Except that comprehensive studies, in contrast to anecdotes, show that people in countries with public health care in fact DO get good treatment generally. So while maybe in rare circumstances you could have to wait too long, the vast majority of the time your life is not put at risk by a little wait.
Just don't eat any unless you're certain it's safe. You won't get poisoned just from touching any mushrooms.
One interesting gotcha that regularly kills people, is that there are some look-a-like species between Eurasia and North America, where one is edible and the other is poison. Apparently is fairly common in Washington state for eastern European immigrants (cultures where mushroom foraging is common) to die this way, because they eat something that looks familiar to them.
I believe you're talking about straw mushrooms (volvariella sp.) vs death caps (amanita phalloides). They are very similar to the untrained eye (and both can vary in appearance a lot from one spot to the next). One of the tells for amanitas it that they have an egg-like "volva" that you can find in the dirt just underneath the mushroom's stem if you dig a little. But volvariella species have this too... spore prints are one way to differentiate if you're patient.
But yeah, second that you can handle toxic mushrooms with no problems unless you swallow them.
Hey, we all received the memo - Musk is evil now. So please, play your part.
All jokes aside - having different implementations/ideas competing for similar goals is nothing but good. We cannot pretend to have "min-maxed" space travel or rocketry at this point in time - so there's still lots of ideas to experiment with.
Any organization that can successfully design, assemble, test, and launch a new rocket into space is a huge victory for the US, space exploration, and ultimately the world. Making space more accessible is likely to lead to all kinds of new discoveries and technology that benefits earth and beyond.
Starship is still in development and is running into significant delays and they have yet to show even a depot, tanker and lunar lander mockup. What real world results are you talking about? It is not like the current version of starship could deploy a payload because they removed the payload doors to make reentry easier. The last test flight took many steps back to test upper stage reuse, which is a capability that won't be needed any time soon and could have been tested in parallel with other changes. Sure, with every test they are incrementally developing the rocket, but from my perspective the progress between launches is the same as if they hadn't done any test launches. There is no magical development speedup coming from their approach, mostly because they are taking many detours. The attempt to launch without a deluge system was just a waste of time and their first rocket. They could be moving faster, but they don't.
Yep. This is the problem I've been zeroing in on as well.
Socialized retirement destroys most of the incentive to sacrifice your youth to grow and raise new people. Why sacrifice your youth and money being a parent when you can leech off the labor of other people's kids in retirement?
I think we'll need to eventually experiment with things that try to give some disproportionate benefit to people who have kids. e.g. everyone gets some minimal socialized retirement and healthcare, but your benefits increase above that baseline in proportion to how many children you raised. Maybe your benefits increase at 3+ kids and decrease with 0-1 kids.
In theory those benefits are already there in the form of social (and potentially economic) support from the kids.
The challenge comes if the kids hate you and refuse to acknowledge you - something which has been being encouraged more and more by western society, BTW.
Historically, people would secretly understand (yeah, they are an abusive alcoholic!) but call you a bad kid and tell you to suck it up and deal with it. Since otherwise they’d have to deal with it. Going no contact is increasingly normalized.
Probably why many societies, especially conservative ones, lean so heavily on filial piety type concepts and frown on people cutting off their parents. especially when those parents are a burden or huge pain in the ass to those around them. Like Chinese mother-in-laws.
I can’t imagine that proposal going over well with the LGBTQ contingent either - which near as I can tell gets a lot of the angst from conservatives precisely because they’re ’having fun’ by opting out of the system and doing what they want instead of ‘comply or die’ like the rest.
Does he at least acknowledge the groundbreaking engineering for a production vehicle with things like 48V architecture, data CAN bus, and steer by wire, and how this will all likely roll into future Tesla vehicles for a big potential competitive advantage?
48V and steer by wire already exist in other cars.
Audi, Porsche, Mercedes, Renault, Kia, Hyundai all have 48V cars. Some of those are several years old.
The Toyota bZ4X and Lexus RZ 450e are fully steer by wire.. and Silverado EV and Hummer EV use it for the rear steering. All of those are on the market.. The bZ4X is from 2022.
Edit: I looked up the data can bus changes for the cybertruck... that's not new either. Look up "Automotive Ethernet"
Model 3/Y/X are only 12V. Cybertruck is only 48V. Audi has cars with both 48V and 12V. You're not going to get the cost savings benefits of switching to 48V by having both 48V & 12V.
Please tell me another car that uses 48V for the whole electric system. Indeed there are other hybrid cars that use a 48V but only for the hybrid part. The actual benefit of Cybertruck's 48V system is that it lowered the amount of copper needed and simplified the whole system.
Then look again at steer by wire. Indeed, RZ450e seemed to have it last year in reviews as an optional packaged but now if I look on their website, there's nowhere to be found. Also, Toyota bZ4x stil doesn't have it, the plan is by the end of 2024. So yeah, not from 2022 like you said... And of course for rear steering it was always used, but the novelty in Cybertruck is the front steer by wire.
I also did look Automotive Ethernet and there are indeed a lot of informations about it, but again, tell me which cars have it for the whole system. There are indeed some like Hyundai that use it only for Entertainment system or VW for the driver assist. The main advantage of Cybertruck is that it's being used for everything which translates to lower complexity and lower cost.
Yes, in that he says all those things aren't new, and don't seem to be actually offering benefits compared with other EV trucks from manufacturers that started later than Tesla.
He probably discussed things like value and comparison to other electric pickups.
I don't know if the average truck owner is too concerned about the data CAN bus or 48V arch. Much like how the average computer owner isn't too concerned with CPU ISA or voltage.
Because that was how Tesla became what it is today starting with the Roadster.
It's a tried and true formula of release a high end, very expensive vehicle with a lot of experimental features that funds and proves out the engineering process that you can eventually roll into cheaper, more well made offerings.
Steelmanning the parent's argument. Having a better model of how fucked we are when there there's no appetite to actually do anything about is high-effort doing nothing.
It entirely depends on how many externalities are created as debt to the future in order to ship blueberries around the world. Internalize those externalities and the grinding force of the market will eventually eliminate or mitigate them.
The future we should all be striving for is one of extreme abundance for everyone, not forcing everyone into hair shirts.