One reason why houses get more expensive over time is because buyers purchase homes with only about 10-20% of the price, so the asset is being mostly purchased by the bank, not the homeowner.
Today, employees similarly provide only about 10-20% of the total cost of healthcare, and employers cover the rest.
Markets are responsive to buyers and their ability/willingness to pay.
If those entities stopped underwriting the costs of houses and healthcare tomorrow, the market (healthcare providers, homebuilders) would have to respond in the form of lower prices. There is no reasonable scenario where homeowners could 'fill in the gap' and buy a home at today's prices without a mortgage; same with healthcare.
People are excited about cash pay programs because of the potential to serve as a bottoms up attack on the bloat of healthcare.
@NYHammond the solution to healthcare costs is unlikely to come from more legislation
we need to be generally deregulating healthcare not regulating it more!
@MatrixMysteries Ending employer/group plans will help this situation enormously.
also, all Americans should be able to self insure with an HSA. contribution limits should go way up too!
@TomSteyer if you are in SoCal, move just across the border to Yuma, AZ. sunniest city in American, great people, awesome town.
3 hrs to SD, 5hrs to LA, and 2 hrs to Palm Springs.
Every non-biotech person I describe Verve to is floored. They can't believe this is a future we get to live in - permanent solution for high cholesterol and strokes - even after I tell them it means editing their genes.
At the same time more than 90% of the biotech VCs I've talked to are bearish on exactly this direction.
"Why cure a disease if you can do monthly injections"
"Insurance would never cover cures"
I am excited for those people to not make any money when they are proven wrong. Its striking that no one sees that cures have been out of vogue for very silly reasons - we equated one-and-done to viral vectors, rare disease TAMs, and rare disease prices. None of those are relevant assumptions, and Lilly has multiple bets in this space to prove everyone wrong.
@buccocapital how we are approaching building our team at Stack Health: Slower, Smaller, Senior.
lots of new ways of working are evolving in real time
https://t.co/rbXZUa8Ukp
I call this building a societal dividend company!
Part of subscribing to American culture is believing that things will get better in the future, but only if we strive for these improvements in the present. I believe that the best way to express this belief is to build companies that can set large ambitions, and attract capital and talent to flow in their direction to achieve these civilizational aims.
https://t.co/enWwnNIz86
@CNBC A company like this should be how new superpowers enter the world, in the form of new products and services that give citizens capabilities they didn’t previously have, or existing ones with higher value than before.
https://t.co/lRtHZXAjWS
@CNBC A company like this should be how new superpowers enter the world, in the form of new products and services that give citizens capabilities they didn’t previously have, or existing ones with higher value than before.
Many aspects of American healthcare that patients dislike are downstream of having a third party (insurance) pay for services that should simply be paid in cash or HSA. Probably true for physicians too.
Health insurance should be insurance, not some weird group purchasing scheme. You don’t need to submit to the humiliation of 8 pages of paperwork and several frustrating phone calls to buy a haircut and it shouldn’t be true for a primary care visit either.
Nor does someone who does a new haircut need to lobby the haircut board to create a haircut billing code like 92133 “ZOOMER BROCCOLI CUT W/ FADE”.
We know markets work. Healthcare isn’t some magic part of the economy that defies the laws of physics. E.g. LASIK which is all cash pay has gotten cheaper in real terms and better since the ‘90s.
The preciousness of healthcare doesn’t need to blind everyone to common sense and evidence. There is a button and you can just push it.
Hiding in plain sight is that market forces, where appropriate, make healthcare dramatically more affordable. This is a great, recent example. Many more will arrive in the next 10 years.
Wegovy and Zepbound prices dropped 70% in 3 years. Why? People pay out of pocket. Healthcare gets cheaper when consumers spend their own money.
@ManhattanInst senior fellow @david_goldhill for @CityJournal
https://t.co/cG9vGWAQp1
AI is about:
1. producing energy
2. adding compute
3. adding models and apps
4. to produce monetary value
Bitcoin is about:
1. producing energy
2. adding compute
3. adding cryptography
4. to produce monetary value
buy #BTC
@Jason https://t.co/wDNcDs83vW
build your own Health Stack.
the ability to 'Roll Your Own' , with insurance and paid for by your employer, is now possible