Richard121

Karma: 34

Richard121 21 Jul 2019 17:02 UTC
1 point
in reply to: Richard121’s comment on: Simple Rules of Law
I think the USA antipathy to a general health service likely stems from this irrational argument:
“If I don’t do anything bad, I will not become poor, lose my job, or have a chronic illness that causes me to lose my health insurance.
Thus anyone who is poor or has a chronic illness must deserve to be so.
If they deserve it, then I should not have to pay towards their care and so they should lose their health insurance.”
This is of course backed up and encouraged by the insurance and private health providers who benefit greatly from the excessive fees they can charge.

Richard121 21 Jul 2019 19:18 UTC
1 point
on: Simple Rules of Law
D is based on a serious misunderstanding of how private health insurance works.
NHS:
The only limiting factor chosen by the NHS (undertaken by the NICE commitee) is to determine which specific investigations and treatments are ‘worth’ funding.
For treatments, they use a value function called a “Quality Adjusted Life-Year” (QALY), and compare that to the cost of the treatment. At the time of writing, it’s automatically approved if the cost is shown to be under £10,000 per QALY gained, more efficacious at the same price than an already-approved equivalent, or cheaper at the same efficacy.
If it’s more expensive then it goes through a slower and more in-depth process to allow public and private argument about both the price and efficacy.
Thus an investigation or treatment that is extremely expensive but is proven to offer extraordinary results will be funded, while one that works but not very well or that is cheap but ineffective are denied.
All approved treatments are approved for everyone.
In the NHS, denials are only ever of specific treatments, and never specific individuals.
In the NHS, doctors are legally required to make decisions based on the needs of the patient regardless of monetary cost. If a treatment is ‘on the list’ and medically indicated, it is provided.
In the NHS, the cost of treating any individual person is considered irrelevant, and in most cases the doctor does not even have any knowledge of the cost.
The systematic pressure on treatment manufacturers is thus to be more effective than existing treatments, to charge less than competitors for similar efficacy, to charge £9,999 per QALY, or to be really efficacious so that NICE will choose their product. Thus the NHS often gets really, really good prices!
The pressure on the doctors and hospitals is to give you the best treatment on the menu, because it reflects badly on them if people die too often.
You could view this as the NHS giving all doctors and patients a menu.
Private Health Insurance:
Private health insurance also decides which investigations and treatments that they will fund and under which circumstances. This part is almost exactly the same—in some cases they even follow the NICE decisions, as it’s a convenient way of avoiding appearing to decide.
The difference is that private health insurance also denies health care to individuals, by stating that the insurance will not pay for treatment of specific ailments (eg pre-existing conditions or effects caused by ‘dangerous’ activities), by refusing to cover those individuals at all, or by setting premiums outside their ability to pay (effectively the same as denial, but easier to square in their own minds).
So you, personally, may not even be permitted all the approved treatments. Or indeed, any treatments at all.
The systematic pressure is for all providers to charge as much as possible and for the insurers themselves to pass the amortised cost onto their customers and eject any customer deemed likely to want expensive payouts.
This is still a menu, except now there’s a bouncer on the door who can decide not to let you in, and the waiter can decide to rip out some of the pages of your particular menu.
Pure Private Health:
You can have anything you can pay for, regardless of efficacy.
The systematic pressure on all providers is to charge the entire wealth of all patients—a sane individual is unlikely to refuse to pay if they or their loved one would otherwise die.
This is a personal chef who takes your wallet.
Note that all other schemes automatically have this as the ultimate backstop, unless explicitly prohibited by law. (eg laws regarding claims of efficacy, licencing of practitioners etc.)
Summary:
Both the NHS and private health insurance systems limit the available treatments, the difference between them is that private health insurance futher limits which of the ‘master list’ of treatments are available to individual people.
A purely private health system does not limit the treatments, but does apply extreme limits to individual people, and is always available regardless of other systems.

Richard121 4 Mar 2020 0:43 UTC
−3 points
on: Seeing the Smoke
If you live in a nation that has universal and free healthcare, then there is in fact very little reason to worry.

Wash your hands and practice good hygiene.
- As you should anyway, because that reduces the spread of other diseases inc. flu and colds, which are already endemic.
If you live in a nation like the USA, then you should worry, for several reasons:
1. Many workers cannot afford to take any time off, and cannot afford to go to their doctor for any treatment until it is already life threatening to them. By that time they are likely to have spread it to customers and colleagues.
2. Many people cannot afford immunizations. Their insurance doesn’t cover them, or their co-pay is high.
3. These workers also work physically closely with colleagues, and are more likely to travel on buses due to the cost.
Full-service restaurants are commonly extremely low pay (below minimum wage) with little to no health coverage. Yes, there are laws/regulations about food service, but they are routinely ignored—staff can’t afford time off and managers turn a blind eye.

There is currently no vaccine and no cure—only general support. So no amount of money will save you from death if you are one of the unfortunate few whose immune system cannot destroy the virus before multiple organ failure.

The group with the highest risk of death (~15%) from Covid19 are old men with heart problems, esp. if they have further co-morbidities.

We can thus predict that quite a few old, rich men are going to die because of the US healthcare system.

If Covid19 worries you, then campaign for free healthcare for all because it is the only way to protect yourself from it—and the future viruses that will inevitably follow.

Richard121 4 Mar 2020 0:57 UTC
2 points
in reply to: Richard121’s comment on: Seeing the Smoke
Couple of numbers to think about:

A flu shot covering the four or five “most common” viruses (inc. bird flu) in 2019/2020 cost $10 privately in the UK, and $20-$75 in the USA.

In the UK, everyone registered with a GP who is at increased risk of pneumonia is offered the shot for free, regardless of status. https://www.nhs.uk/conditions/vaccinations/who-should-have-flu-vaccine/

In the USA, the Affordable Care Act made the flu shot free for most people who have health insurance, and for some groups without insurance. Approx. 10% of US citizens have no health insurance at all, these are of course those who either don’t work or have low-paid jobs.

Richard121 4 Mar 2020 1:07 UTC
2 points
in reply to: zby’s comment on: Seeing the Smoke
Some data from the BBC comparing them: https://www.bbc.co.uk/news/world-51235105

The current overall death rate is estimated at approx. 1%, with a fairly large number of cases.

It has spread much further and faster than SARS or MERS, but is far less dangerous than either.

Which makes sense—a disease which incapacitates or kills in a high percentage of cases is unlikely to spread as fast as one which has mild symptoms in most infected people.

It now appears almost certain to become endemic. The real goal is to slow down the spread sufficiently to develop vaccines before this happens.

That worked for bird flu and swine flu. It remains to be seen for Covid19

Richard121 1 Jan 2022 23:39 UTC
2 points
in reply to: Zvi’s comment on: Omicron: My Current Model
It is absolutely certain that there will be more “variants of interest”.
This is basically the evolutionary modelling that pretty much all Governments have ignored, every time—Delta and Omicron were predicted by all eviolutionary biologists.
The open questions are:
- Whether there will be a new variant of interest that is notably more infectious, and thus becomes dominant after Omicron.
  In the UK, Delta completely outcompeted all other variants in around 3-4 months (>95% of all sequenced cases were Delta). Omicron is expected to do the same by Feb if not earlier. USA is likely similar, albeit delayed by a few weeks.
- Whether future variants cause more or less serious disease than Omicron.
- When this will occur.
  To me, it seems most likely this will be Feb/March 2022 or Fall 2022
If the answer to the first question is Yes, and the second question is “far less serious”, then the pandemic is over When it occurs—it has become another ‘common cold’ and is unlikely to mutate further to produce more serious disease (because it didn’t).
However, if it is Yes and The Same Or More Serious, then we will certainly need further booster jabs in Fall/Winter 2022, perhaps tailored more closely.

Richard121 3 Oct 2022 23:59 UTC
2 points
0
in reply to: artemium’s comment on: A Few Terrifying Facts About The Russo-Ukrainian War
The main reason for everything being in a crappy state is almost certainly (>90%) widespread corruption.
Everyone who can is creaming off a little bit, leaving very little for the actual materiél and training.
So shoddy materials, poor to no training, missing equipment, components and spares.
That said, while it is very likely that the Russian nuclear arsenal is in extremely poor state, and I’d possibly go as high as ⁵⁰⁄₅₀ that their ICBMs could launch but cannot be aimed (as that takes expensive components that are easy to steal/not deliver and hide that fact), missing the target by a hundred miles or more is basically irrelevant in the “ending the world” stakes.
A ‘tactical’ device doesn’t need much in the way of aiming, and on the assumption that it does in fact contain nuclear material there’s not a huge civilian difference between it exploding ‘as designed’ or “just” fizzling.
If only the initiator went off, the weapon disintegrated during launch/firing, or the weapon/aircraft was shot down, it would still spread radioactive material over a wide area.
While that wouldn’t be the “shock and awe” of a mushroom cloud, it’s still pretty devastating to normal life.

Richard121 11 Nov 2023 21:06 UTC
4 points
−1
in reply to: Daniel Kokotajlo’s comment on: AI Timelines
I think the gap between AI R&D being 99% automatable and being actually automated will be approximately one day
That’s wildly optimistic. There aren’t any businesses that can change anywhere near that fast.
Even if they genuinely wanted to, the laws 99% of business are governed by mean that they genuinely can’t do that. The absolute minimum time for such radical change under most jurisdictions is roughly six months.
Looking at the history of step changes in industry/business such as the industrial and information revolutions, I think the minimum plausible time between “can be automated with reasonable accuracy” and “is actually automated” is roughly a decade (give or take five years), because the humans who would be ‘replaced’ will not go gently.
That is far faster than either of the previous revolutions though, and a lot faster than the vast majority of people are capable of adapting. Which would lead to Interesting Times...

Richard121 11 Nov 2023 22:19 UTC
23 points
−3
on: AI Timelines
1000x energy consumption in 10-20 years is a really wild prediction, I would give it a <0.1% probability.
It’s several orders of magnitude faster than any previous multiple, and requires large amounts of physical infrastructure that takes a long time to construct.
1000x is a really, really big number.
Baseline
2022 figures, total worldwide consumption was 180 PWh/year^[1]
Of that:
- Oil: 53 PWh
- Coal: 45 PWh
- Gas: 40 PWh
- Hydro: 11 PWh
- Nuclear: 7 PWh
- Modern renewable: 13 PWh
- Traditional: 11 PWh
(2 sig fig because we’re talking about OOM here)
There has only been a x10 multiple in the last 100 years—humanity consumed approx. 18 PWh/year around 1920 or so (details are sketchy for obvious reasons).
Looking at doubling time, we have:
1800 (5653 TWh)
1890 (10684 TWh) − 90 years
1940 (22869 TWh) − 50
1960 (41814 TWh) − 20
1978 (85869 TWh) − 18
2018 (172514 TWh) − 40
So historically, the fastest rate of doubling has been 20 years.
Build it anyway
It takes 5-10 years for humans to build a medium to large size power plant, assuming no legal constraints.
AGI is very unlikely to be able to build an individual plant much faster, although it could build more at once.
Let’s ignore that and assume AGI can build instantly.
What’s in the power plant
At current consumption, known oil, gas and coal reserves are roughly 250 years in total.
Thus at 1000x consumption they are consumed in less than three months.
Nuclear fuel reserves are a similar size − 250 years of uranium, so assuming reprocessing etc, let’s say 1000-2000 years at 2022 consumption.
So the AGI has less than 3 years of known fuel reserves at 1000x current consumption.
However, “reserves” means we know where it is and how much could be economically extracted.
Exploration will find more, and of course there are many other, more esoteric methods of electricity generation known or believed to be possible but currently uneconomic or unknown how to build.
How about Space?
Solar irradiance is roughly 1380 W/m2 at Earth’s orbital distance. Call it 12 MWh/year/m2, or 12 TWh/year/km2
We’re looking for 180,000,000 TWh/year, so we need a solar panel area of around 20,000,000 km2 at >50% efficiency.
That’s a circle >2500km radius—much bigger than the Moon!
Fusion
The hidden assumption is that AGI not only figures out large-scale fusion in 4 years, but rolls it out immediately.
1. ^
  Hannah Ritchie, Pablo Rosado and Max Roser (2020) - “Energy Production and Consumption”
  https://ourworldindata.org/energy-production-consumption

Richard121 11 Nov 2023 22:56 UTC
3 points
0
in reply to: O O’s comment on: AI Timelines
I think there is a significant societal difference, because that last step is a lot bigger than the ones before.
In general, businesses tend to try to reduce headcount as people retire or leave, even if it means some workers have very little to do. Redundancies are expensive and take a long time—the larger they are, the longer it takes.
Businesses are also primarily staffed and run by humans who do not wish to lose their own jobs.
For a real-world example of a task that is already >99% automatable, consider real estate conveyancing.
The actual transaction is already entirely automated via simple algorithms—the database of land ownership is updated indicating the new owner, and the figures representing monetary wealth are updated in two or more bank accounts.
The work prior to that consists of identity confirmation, and document comprehension to find and raise possible issues that the buyer and seller need to be informed about.
All of this is already reasonably practicable with existing LLMs and image matching.
Have any conveyancing solicitors replaced all of their staff thusly?

Richard121 23 Jan 2024 23:00 UTC
3 points
1
in reply to: Tao Lin’s comment on: There is way too much serendipity
Indeed. The incentives to put new ones on the market are very limited, due to legalities and economics.
A corporation has a limited window of patent monopoly, so a fairly short time period to recoup their investment to develop, licence and build out manufacturing capacity—thus need to sell it for a high price or sell high volumes.
It is a long and expensive process to get a new compound approved for use as a food additive, and it needs to be done separately in each major jurisdiction—at least China, USA and EU.
A new sweetener is directly competing against all the other ones that are already on the market—merely ‘being much sweeter’ isn’t enough.
It has to be significiantly better in some other way, if only because it will be considerably more expensive at first.

Richard121

Baseline

Build it anyway

What’s in the power plant

How about Space?

Fusion