The hottest Costs Substack posts right now

And their main takeaways
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Universal Primary Care: The Antidote to Health Reform Paralysis?

HEALTH CARE un-covered • 559 implied HN points • 24 Sep 24
🏥 Health Politics Health care Public Policy Insurance Access Costs
  1. Universal primary care is important because everyone needs it, even healthy people. It helps with routine illnesses and preventive care.
  2. Primary care is cost-effective, making up a small part of total healthcare spending but providing great health benefits. Investing in primary care can save money in the long run.
  3. Starting with universal primary care could be a smart first step toward broader healthcare reform. It might gain more political support and lead to better health outcomes for everyone.

Mass Timber is Great, but It Will Not Solve the Housing Shortage

Construction Physics • 13153 implied HN points • 13 Mar 24
💼 Business Construction Housing Costs Canada
  1. Mass timber construction is advantageous for tall buildings due to its fire resistance and carbon sequestration, but it may not significantly increase housing construction volume in the US compared to traditional methods.
  2. While mass timber is praised for its safety and environmental benefits, it faces challenges such as higher initial costs and more complex processing steps, making it less competitive than light-framed wood construction in the US.
  3. Canada's experience with mass timber, despite a supportive ecosystem, shows that residential mass timber construction may not see a significant uptick in the US housing market even with continued growth and cost reduction.

On Klein on Construction

Construction Physics • 10021 implied HN points • 18 Feb 23
🔬 Science Construction Regulations Productivity Costs Technology
  1. Construction industry productivity issues may be due to organized special interests influencing the process with complex regulations and stakeholder approvals.
  2. Regulations have increased costs in construction through additional input requirements and negotiation delays.
  3. Increased regulation in the construction industry might not be causing productivity stagnation more than in other sectors, but it is a significant factor to consider.

What about the cost?

Everything is Light • 668 implied HN points • 01 Apr 23
🌞 Climate & Environment Clean Energy Policy Costs Renewables Nuclear power
  1. Comparing the costs of different energy sources is more complex than just looking at the upfront costs of individual components.
  2. The Levelised Cost of Energy (LCOE) metric is not sufficient for assessing cost-effectiveness because it overlooks various factors like system costs and reliability.
  3. It's essential to consider the true costs of energy sources, including factors like backup power needs, disposal costs, and environmental impacts, to make informed and effective energy policy decisions.

Insuring Progress

Model Thinking • 259 implied HN points • 07 Jan 24
💼 Business Regulation Innovation Costs Urban Development Technology
  1. Replacing process-based regulations with outcome-based regulations can help boost British growth in sectors like childcare, energy, and housing
  2. Introducing Mandatory Insurance Schemes in sectors with low-probability, high-downside events can incentivize safety compliance and ensure victims get compensated
  3. Outcome-based regulations can lead to cost-effective safety procedures, technological innovation, and more resilient policy reforms, thereby helping Britain move forward in various industries
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Proofreading an entire book with GPT-4 for $6.88

Mindful Modeler • 479 implied HN points • 02 May 23
🕹 Technology AI Automation Tools Costs Workflow
  1. Proofreading an entire book with GPT-4 can help automate tasks like improving grammar, language, and cutting clutter in a draft.
  2. Using prompts to guide LLMs like GPT-4 is important for specific and successful outcomes in automated editing.
  3. The economic benefit of using GPT-4 for proofreading can be significant compared to hiring a professional proofreader, offering a balance between capabilities and cost.

Rethinking Public Procurement

Arpitrage • 574 implied HN points • 15 Sep 23
💼 Business Procurement Costs Infrastructure Software Reform
  1. Government procurement often involves unnecessary costly requirements and limited bidder outreach, leading to high expenses and poor quality outcomes.
  2. High infrastructure costs in the US are exacerbated by procurement problems and a legal system that limits state power.
  3. Failure in government procurement, like outdated unemployment insurance systems, results in costly software upgrades and limited benefits for recipients.

The choice between traditional Medicare and Medicare Advantage? It’s easier than you think.

HEALTH CARE un-covered • 499 implied HN points • 16 Feb 23
🏥 Health Politics Medicare Healthcare Insurance Costs Policy
  1. Traditional Medicare lets you see almost any doctor or hospital in the U.S., while Medicare Advantage usually limits you to a specific network of providers.
  2. Medicare Advantage plans sometimes deny necessary care, while traditional Medicare generally ensures full coverage for services recommended by your doctor.
  3. You might save money with Medicare Advantage in the short term, but if you need expensive care later, it could cost you much more than traditional Medicare.

Why Health Insurance Systems are Mismanaged

In My Tribe • 455 implied HN points • 01 Jul 23
🏥 Health Politics Health Insurance Incentives Costs Government Market
  1. Incentives in health insurance systems can be misaligned, leading to issues like services being rationed for those with expensive illnesses.
  2. Government can create artificial pools within health insurance to avoid selection games, but challenges in insurer-provider conflicts may persist.
  3. Integrating health insurance with health care, like in HMOs, can help manage costs, but compensation methods for HMOs and providers remain contentious.

The Assassination of HS2 by the Coward Rishi Sunak

S(ubstack)-Bahn • 180 implied HN points • 08 Oct 23
🌍 World Politics Infrastructure Transportation Government Costs Legislation
  1. HS2 was a major rail project in the UK, but was dramatically cancelled by Prime Minister Rishi Sunak.
  2. Political will is crucial in controlling the costs and completing high-speed rail projects.
  3. Comparison drawn between the cancelled HS2 project in the UK and the challenges faced by the California High-Speed Rail project.

The price of health insurance has increased 24% over the last year

HEALTH CARE un-covered • 299 implied HN points • 04 Oct 22
🏥 Health Politics Insurance Costs Policy Healthcare Inflation
  1. Health insurance prices went up by 24% over the last year, which is a much bigger increase than most other expenses like food or gas.
  2. While the cost of medical services only rose by around 5.6%, health insurance continues to climb, indicating issues with insurers' pricing.
  3. Deductibles and out-of-pocket costs have also significantly increased, and future premium hikes are expected, putting more financial pressure on families.

As health insurance premiums and out-of-pocket obligations increase, so does the number of Americans who are “functionally uninsured”

HEALTH CARE un-covered • 239 implied HN points • 03 Nov 22
🏥 Health Politics Insurance Costs Policies Coverage
  1. Health insurance costs are rising quickly, with family premiums increasing by 43% over the last decade. This makes healthcare harder to afford for many families.
  2. More people have to pay larger out-of-pocket expenses before their insurance starts helping. On average, these costs have gone up by 61% in the past 10 years.
  3. Small businesses struggle the most with these high costs and many are no longer offering health insurance benefits to their employees, leaving more people without proper coverage.

ALARA

Gordian Knot News • 241 implied HN points • 05 Apr 23
🔬 Science Energy Regulation Costs Bureaucracy
  1. ALARA philosophy in nuclear regulation aims for minimal radioactive emissions.
  2. ALARA can lead to increased costs and hinder technological advancements in nuclear power.
  3. ALARA's focus on reducing radiation exposure may lead to excessive regulation and operational costs.

Stage 2: Nuclear Power's Economics Suck

Gordian Knot News • 219 implied HN points • 19 Mar 23
💼 Business Energy Economics Regulations Costs Market
  1. Nuclear power in the West is incredibly expensive and time-consuming to build, hindering its potential to combat global issues like climate change.
  2. Historically, nuclear power has been cost-competitive with coal, but rising costs due to regulations and construction delays have made it less viable.
  3. The core issue with nuclear power's economics lies in the perception of any radioactive release as intolerable, leading to excessive safety measures that drive up costs.

Roundup: OpenAI's Sora

philsiarri • 44 implied HN points • 24 Feb 24
🕹 Technology AI Entertainment Costs Research Impacts
  1. OpenAI's Sora is a text-to-video model that can create videos in response to prompts, extend existing videos, and generate videos from images, but it remains unreleased as of February 2024.
  2. While Sora has potential in marketing, content creation, training, and education sectors, filmmakers believe it won't replace Hollywood due to issues like temporal consistency and artifacts.
  3. Concerns exist around the release, access, cost, and potential negative impacts of Sora, as Tyler Perry even halted studio expansion due to the tool.

While UnitedHealth reports $24 Billion in profits, Americans faced 200% increases in out-of-pockets over last decade

HEALTH CARE un-covered • 259 implied HN points • 21 Jan 22
🏥 Health Politics Insurance Costs Profits Policy
  1. UnitedHealth made a record profit of $24 billion, which is the highest ever for any U.S. insurer. This raises concerns about how the company is managing its resources while also charging customers more.
  2. Americans have seen their healthcare costs skyrocket, with out-of-pocket expenses increasing by 200% over the last decade. This means people are paying much more for healthcare, even when they have insurance.
  3. Health insurance premiums and deductibles now take a larger share of people's incomes, affecting families in many states. Many insured people are still struggling to afford care due to higher costs.

Americans (with insurance) can't afford their medical care. They're turning to GoFundMe.

HEALTH CARE un-covered • 179 implied HN points • 19 Apr 22
🏥 Health Politics Healthcare Insurance Costs Policy Access
  1. Many Americans, even those with health insurance, are struggling to pay medical bills due to high deductibles and out-of-pocket costs. This has led some to seek help through platforms like GoFundMe.
  2. People with chronic conditions, like cancer, are especially at risk of financial troubles. Even after meeting their deductible, they often face new costs each year, making it difficult to afford necessary care.
  3. The issue of high medical costs can affect anyone, as most people will have a chronic condition at some point in their lives. It's a growing crisis that impacts both health and finances.

Must-read for US employers and lawmakers: 43% of working adults are functionally uninsured

HEALTH CARE un-covered • 99 implied HN points • 05 Oct 22
🏥 Health Politics Insurance Access Costs Legislation Public Health
  1. 43% of working adults in the US have inadequate health insurance, making them functionally uninsured. This is a significant concern for many families.
  2. Costs are a big problem; 46% of people delayed or skipped medical care because they couldn't afford it, and many struggle with medical bills.
  3. Low-income individuals and people of color are more likely to be underinsured, facing bigger gaps in coverage and high out-of-pocket costs.

The FTC decided not to investigate PBM business practices. But there is a silver lining.

HEALTH CARE un-covered • 99 implied HN points • 18 Feb 22
🏥 Health Politics Insurance Costs Regulation
  1. The FTC decided not to investigate pharmacy benefit managers (PBMs), but some commissioners are still concerned about rising out-of-pocket costs for patients at pharmacies. This is a positive sign for future inquiries about healthcare costs.
  2. Many people with insurance are struggling to afford their medications because of high deductibles and costs demanded by their insurers. This issue is causing serious financial problems for families.
  3. Three big companies control a large portion of the PBM market and are making significant profits while many insured Americans can't afford necessary medicines. The investigation should consider how these companies' practices affect patients.

Why Databricks Bought Mosaic and The Rapidly Decreasing Costs of AI

Unsupervised Learning • 2 HN points • 29 Jun 23
🕹 Technology AI Machine Learning Costs Cloud Infrastructure Business Models
  1. Training costs for AI models have decreased significantly, making it more cost-effective for companies to build their own models.
  2. Inference costs for AI models have also decreased, creating more affordable options for companies utilizing AI features.
  3. The decreasing costs of AI models are leading to increased competition and more attractive business models for startups building on foundation models.

Test Week: Scale and Speed

Joshua Gans' Newsletter • 0 implied HN points • 19 Aug 20
🏥 Health & Wellness Testing Costs Speed Mitigation Strategy
  1. Widespread testing for Covid-19 requires cheap tests and fast results to isolate infected individuals quickly.
  2. Lowering costs and increasing speed of testing are essential for successful mitigation of Covid-19 spread.
  3. Using a strategic testing approach, combining low-cost, rapid tests with high sensitivity tests, can significantly enhance the effectiveness of mitigation strategies.

Death by RAG Evals

ScaleDown • 0 implied HN points • 31 Jan 24
🕹 Technology AI Evaluation LLMs Metrics Costs
  1. Evaluating RAG (Retrieval-Augmented Generation) systems is challenging due to the need for assessing accuracy, relevance, and context retrieval.
  2. Human annotation is accurate but time-consuming, error-prone, and not suitable for real-time systems.
  3. The evaluation process for RAG systems can be resource-intensive, time-consuming, and costly, impacting latency and efficiency.

Interrailing to Paris with a worrying lack of planning

One bag many places • 0 implied HN points • 23 Mar 24
🏝 Travel Adventure Planning Experience Costs
  1. Planning a trip to Europe, even with a lack of preparation, can be manageable and exciting. Last-minute adventures can be surprising and fun.
  2. Understanding the differences between interrail and eurrail passes is crucial when traveling within Europe. It's important to consider extra bookings for certain trains like the Eurostar.
  3. Traveling through different European cities can provide unique cultural experiences and insights. Trying local dishes and observing daily life can be eye-opening.

Sky-High Risks: The Hidden Dangers of Airplane WiFi

IntelEdge360 with Bidemi Ologunde • 0 implied HN points • 25 Mar 24
🕹 Technology Cybersecurity Connectivity Costs Regulations User Experience
  1. Airplane WiFi can pose significant cybersecurity risks, highlighting the need for comprehensive strategies to protect operations, data, and passenger privacy.
  2. Airplane WiFi operates through air-to-ground (ATG) and satellite connectivity, with various speeds and costs associated with each system.
  3. Implementing in-flight WiFi presents challenges such as costs, regulatory hurdles, and user experience variations, but advancements are working towards better connectivity and affordability.