• 3 Posts
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Joined 2 years ago
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Cake day: June 1st, 2023

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  • Sweden.

    A few alternatives:

    • I could book an appointment at the local health center. I would probably get a time at the earliest next week, and it would cost me $30. Health center doctors are generally quite overworked, and can sometimes be a bit dismissive of your issues in my experience, but they will help you. If you need specialist care, they will give you a referral, which could take several months depending on the priority of the case and the type of specialist.
    • I could use an app to get access to a video call with a doctor, after having described my symptoms in the app. I would get a video call the same day and it would cost me $30. Given the remote nature of this kind of contact, they can be a bit limited in what they can do for you, but will try to help you regardless. If your case requires in-person examination, they will ask you to go to a health center instead. If you need specialist care, they will give you a referral and you’ll have to wait the same amount of time as for a referral in the health center scenario.
    • I am lucky enough to have a private health insurance plan through my employer. If I have any problems, I’ll submit them to this private health insurer, and they put a human on the case and connects me with a specialist right away if the problem warrants one. Typically this happens the same or the next day. This costs me nothing, apart from what I pay in benefit taxes to be on the private health insurance plan.

    All in all, things work fairly well in Sweden, but having gotten private health insurance has definitely jaded me a bit on account of how much better the experience is when you have that. If only the public system wasn’t systematically underfunded and run by the dumbest politicians on offer in the country, then maybe everyone could have great patient experience.


















  • If the fire department is happy with one staircase, great.

    Fire departments make for very poor authorities on these matters, unfortunately. See the issue of them mandating completely oversized roads, since they can’t imagine smaller fire engines that have precedent around the world.

    It just doesn’t sound plausible that 6-15% premium for additional staircases is a root cause of the housing crisis, when developer profit opportunity is clearly the greater constraint.

    That’s the thing though - there is no single root cause for the housing crisis. It’s just a bunch of small issues stacked on top of each other, and each has to be addressed individually.


  • It’s important for public projects to manage their costs as well, as it affects how much can be built using the limited public funds available. I think we can all agree that we need large amounts of public housing in constrained places like San Francisco, to alleviate the current situation.

    It is in fact one of the major advantages of building public housing - you unlock the lower costs of building at scale, which reduces costs in several ways:

    • Building the same type of units makes workers familiar with the product and allows them to complete them faster
    • Pre-fabricated modular units can be constructed off-site and shipped in, and making them at scale drives costs down
    • Large contracts are more lucrative and can hence be negotiated to better rates with contractors

    For a wildly successful example, look to Miljonprogrammet that took place in Sweden during the 60s and 70s. Following that project, a vast supply of housing was available for the population, with housing costs below 1% of income being common.