AnonymousActuary
No bio...
User ID: 2163
AnonymousActuary
15d ago
Yeah this is what I've emphasized - you will improve at this if you work at it, but doing so will result in a lot of losing along the way. We went to a chess club event recently and I prefaced it with "everyone here is going to be much better than you, but you will learn some things". She had a very good attitude, and I thought played some very solid moves that even I hadn't seen. She said she wanted to go again, so I think for now I keep nurturing it. Hopefully can find some people more her level for her to play soon.
AnonymousActuary
18d ago
What do we think about chess? My 5 year old daughter has become enamored with it lately, wants to play multiple times a day, doing some puzzles, all that good stuff. She's definitely improving fast - she impresses adults she plays who know how to play but aren't good haha - I'd benchmark at her at like a Class G player (ELO in the 600-700 range). I'm probably around an 1100 ELO, maybe a bit higher when I'm really focused.
Basically, trying to decide how much to encourage improvement in this vs other skills she enjoys (soccer, reading, etc) given Chess is a bit of a dead end? But if she enjoys it then it is a fun hobby and I like playing her...thinking we might try out a local scholastic club and see what we think.
AnonymousActuary
18d ago
interesting - We've enjoyed our guardian bikes a decent amount - what's the pitch with priority and woom?
EDIT: lighter weight? More expensive so just generally better? Our 5 year old is struggling a bit on hills though is very good at pedaling. 3 year old still working on balance with pedals.
AnonymousActuary
18d ago
just noticed this too - went to check the subreddit and it has 19k readers?? Since when? Is it just a bot paradise haha
AnonymousActuary
29d ago
Disclaimer: I am not a Medicaid expert Medicaid reimbursement is generally a lot lower than commercial - though maybe there is enough direct and supplemental payment shenanigans that it is worth it? I just know every time I have touched it it seems like a mess of different categories and paperwork
AnonymousActuary
29d ago
I think the USA's current healthcare system actually looks pretty good when you adjust for our terrible demographic/cultural headwinds (we are fat, love shooting each other, going fast in cars, drinking, and combining all 4 activities). People come to the US for top tier care (Mayo Clinic, Cleveland Clinic). We drive huge amounts of pharmacy innovation.
We absolutely spend a ton of money on it, but some of that is just we have a bunch of money to spend.
AnonymousActuary
29d ago
Posted this in the comments last week, but was curious to get some more thoughts on a potential path forward on the healthcare front that isn't just single-payer across the board:
I do occasionally wonder if you could get to a decent place via:
- Get rid of Medicaid. It maybe made sense at one point, but it's current incarnation is, as far as I can tell, such a disgusting mess for all involved parties that it's better to just kill it with fire.
- People who would be on Medicaid can now get insurance via the ACA exchanges - they'll get a 94% CSR plan for 2% of their income. There's some annoyance around how they will enter their income, but much less paperwork than it takes to interface with Medicaid. There would need to be a small legislative tweak to allow this to happen (let <138% FPL income people get subsidies), but in practice they should trade a bunch of annoying documentation and everything is free for a functional network (ie a blues plan) and everything is very cheap + 2% of their income.
- Expand Medicare to more disease categories other than just end stage renal disease (in addition to the elderly). In practice I think you want to try to capture an additional several million of the sickest people. Hemophiliacs, organ transplant, some cancers, some rare genetic disease perhaps, that sort of thing. This will dramatically lower premiums in the ACA. However power-law distributed you think healthcare costs are, the reality is they are likely more power law distributed than you think.
That's going to create some winners and losers, hospitals will be upset that more high cost people are on Medicare, but shifting people from Medicaid to commercial reimbursement rates should help out with that. The amount of bureaucratic nonsense saved by getting rid of Medicaid should be huge.
All a bit of pie in the sky dreaming anyways...
AnonymousActuary
29d ago
I do occasionally wonder if you could get to a decent place via:
- Get rid of Medicaid. It maybe made sense at one point, but it's current incarnation is, as far as I can tell, such a disgusting mess for all involved parties that it's better to just kill it with fire.
- People who would be on Medicaid can now get insurance via the ACA exchanges - they'll get a 94% CSR plan for 2% of their income. There's some annoyance around how they will enter their income, but much less paperwork than it takes to interface with Medicaid. There would need to be a small legislative tweak to allow this to happen (let <138% FPL income people get subsidies), but in practice they should trade a bunch of annoying documentation and everything is free for a functional network (ie a blues plan) and everything is very cheap + 2% of their income.
- Expand Medicare to more disease categories other than just ESRD. In practice I think you want to try to capture an additional several million of the sickest people. Hemophiliacs, organ transplant, some cancers, some rare genetic disease perhaps, that sort of thing. This will dramatically lower premiums in the ACA. However power-law distributed you think healthcare costs are, the reality is they are likely more power law distributed than you think.
That's going to create some winners and losers, providers will be upset that people are on Medicare, but shifting people from Medicaid to commercial reimbursement rates should help out with that. The amount of bureaucratic nonsense saved by getting rid of Medicaid should be huge.
Rittenhouse was such a perfect little scissor...not shocking that was the first step in driving people apart
More options
Context Copy link