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Culture War Roundup for the week of December 29, 2025

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This got nuked when it became illegal to deny people for preexisting conditions. It's doubly fucked when something like half all all chronic conditions can be traced to poor lifestyle management; diet, exercise, and substance misuse/abuse both legal and otherwise.

To extend the "most ships don't sink, most mail doesn't get lost" metaphor; most people want to drive their cars forever without hitting anyone or being hit by anyone. People who drink too much, smoke, don't exercise, and eat pseudo-food might not desire to see the doctor in a philosophical sense, but they're loudly ignoring the reality that they will need to in short order. It's the equivalent of driving blindfolded with your feet and, after hitting a lightpost, proclaiming, "_of course I didn't want to do that!"

In the west, we're actually pretty good at solving the big problems of actual healthcare (not health insurance) through good old fashioned innovation and market incentives. Diabetes used to mean losing a foot, and insulin changed that. Antibiotics going back to penicillin mean that you can literally get your can now body cavity opened up in ways that, in yesteryear, would've been a slow and agonizing death by infection. I contend that the greatest medicinal invention ever was functional public sewage and waste disposal paired with ubiquitous flush toilets and showers.

We're very bad at dealing with repeated objectively horrible decision making at the individual level. This is the thread that ties together not only healthcare but also welfare, criminal punishment, and abortion (to name the a few off the top of my head). If a given person wants to keep making awful decision, a free society has to tolerate that to some extent. The alternative is tyranny. What a free society should not do, in my opinion, and cannot do perpetually, is actively subsidize these bad decisions and/or the consequences arising from them.

We're very bad at dealing with repeated objectively horrible decision making at the individual level.

There's a mechanism that's good at that; call it the "invisible iron fist". But we do our best to prevent it from operating.

But we do our best to prevent it from operating.

Exactly. But the cost of that prevention is passed on to people who make good decisions. That's the whole perversion of it. "Suicidal empathy" is one of the great bon mots of culture war discourse. It is possible to love-your-neighbor-to-(mutual)-death