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robf456's avatar

Then goes back to vibes again, do I trust this polymath or that, maybe gpt is the best polymath, this feels like some form of appeal to authority.

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Andy G's avatar

“Maybe this is all straw-manning, all of this is taken out of context, and the only place that Robin says his true opinion is in his book. But in that case I feel like this is a pretty extreme failure of communication that’s not entirely my fault. Also, other people seem to interpret it the same way I do:“

Based on the link above to Robin’s “debate” with Scott Alexander, I went back and reviewed the whole thing again, possibly in more detail than I did the first time.

I think I am mostly on Team Robin.

But the one place I agree with Scott is on the quoted bit above.

If Robin stuck to and repeated the “we spend too much taxpayer money on healthcare, including how we subsidize it in the tax code” and “we should reduce by half medical spending done on behalf of others” given the highly questionable returns on marginal spending, and “consider whether you would do xyz if you had to pay for it all yourself”, he would be on MUCH firmer ground.

What I found most surprising reviewing the debate was that no one brought up the alternative uses of the money, nor that marginal value differs enormously for each person - in no small part based on their income and assets! [Apologies to Robin if he did bring it up in one small place and I missed it.]

The fact that upper middle class Scott would value and pay for so many of the examples is kinda irrelevant. The better marginal point is whether - even assuming a generally accurate understanding of the risks and rewards - any given beneficiary of government or mandated insurance company largesse for a medical intervention would prefer the cash to the intervention.

Paternalistic leftists, of course, would say people don’t know what’s good for them - or can’t know, in the case of medicine. Re: the first part, I just roll my eyes; re: the 2nd part, this is where Robin’s points about ultimate outcome differences are entirely relevant.

Re: public policy the enormous total spending by taxpayers for limited / questionable benefits is the key point.

For individuals making decisions, their marginal utility of the medical intervention versus the cash spent alternative is the key point.

I put this on Robin more as a) the economist and b) the one pushing the more “controversial” view.

But it’s also on polymath Scott who should know better about these two basic points of public policy and economics, despite Robin’s failings at communicating this clearly.

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