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| Those aren’t mutual exclusive. In fact having healthcare not be gated to the single few that can afford it might accelerate the process of fixing the issues around pricing. |
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| All else being equal, I'd rather see the pricing pressure done by market competition rather than enforced price caps benchmarked against some metric controlled by the industry (see Medicare Part D - gov. negotiates hard to only reimburse xx%, drug industry says fine, we'll just raise the book price - you'll get your talking point, and we'll still get our asking price).
So more significantly: * bring back association health plans across state lines and industries, so small businesses can band together for group rates. https://news.bloomberglaw.com/daily-labor-report/biden-admin... * Expand Direct Primary Care. https://www.dpcare.org/ * Allow primary care physicians, dentists, etc. to offer services without a state board providing "certification of need". This seems to just be gate-keeping / moat-building. I'm not saying either or all of these are a perfect solution (nor do I think we need to find that solution immediately). As a small business owner, they'd make the health insurance handcuff problem easier to navigate by driving costs down. I will say this - flying solo without health insurance does make you a FAR better consumer of healthcare services. You will comparison shop (made easier by price transparency rules). You will critically consider the necessity of gratuitous tests / procedures. You will learn that doctors are running profit-minded businesses like everyone else. It also makes you reconsider some life choices (re: physically risky behavior). I think the biggest fear I faced was the lack of catastrophic coverage (cancer, etc.). When we didn't have insurance (both small business owners) my wife and I probably consumed less than $1000 of direct services combined, per year. That part (direct pay for services used) was fine. Walking the tightrope without a safety net for expensive medical developments was our biggest risk. With kids it's even less of an option to operate that way. I've known many that have returned to corporate jobs for this reason alone. |
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| 4. Go back to county hospitals. If you want to pay extra for the Cadillac plan and go private good for you. But let them compete against the county just like the 80s and prior. |
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| You mean they would have to offer a good job with competitive wages, enjoyable work conditions, good benefits (mat leave, paid time off, sick pay, etc.) and a good career path? |
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| Taiwan has a solid national health insurance plan. The number of small and medium sized businesses is very high for a country with a working age population of 16 million people:
Taiwan boasted more than 1.59 million small and medium enterprises (SMEs), according to the White Paper on Small and Medium Enterprises in Taiwan, 2022. This accounts for more than 98 percent of all enterprises, an all-time high. Further, SMEs employed 9.2 million people, representing more than 80 percent of the total workforce. https://www.moea.gov.tw/MNS/english/news/News.aspx?kind=6&me... I think the official number undercounts the many micro-businesses that exist around the food industry, markets, and services. |
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| I'm right at your starting point. Can basically build anything but committing to an idea is the sticking point. What product would you want to start with today? |
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| I think they mean, "I'm thinking of creating an instance of Slack that people can join and chat who are in this stage of their journey", not that their idea for a new company is like Slack. |
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| (author here)... I honestly was scared of it first, as I thought if I edited the code, I'd accidentally change/update the other persons website... |
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| great .com domain names were the cheat-code I was blindly searching for. The unfair advantage they present allowed me to compete head-to-head with larger entities. I still play in these waters. |
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| This makes me think about all the psych grads, that went to school, wanting to help people, but are now writing dark patterns.
But they are being paid a lot more than they would get, helping people. |
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| oh but think of all the “refactoring” you’re missing out on.
We have a DevRel engineer specifically working to get technical debt tickets into sprints. So you get to refactor! Oh gee! |
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| This line in the article sums up beautifully the desire for being an entrepreneur: "A path to avoid someone else’s bonehead business decision which kneecaps a company and executes my career." |
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| What a beautiful piece of writing, which hits close to home for me, as I've always kind of managed side projects and my full-time jobs during office hours. |
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| Most of the stuff in the article happened between ~2003-2010 at first glance, which is what he means probably (even though it was published in 2024.) |
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| I for one would appreciate a list of "software products that the world needs and if you made this then you could make some money".
(Not a video game) |
I hated the startup theater, pitching, networking, and accelerator applications including YC and TechStars and MassChallenge. My cofounder flaked. I wound down business #1, returned most of the investor capital, and then started out on #2, determined to do things completely differently.
For #2, I had 3 criteria:
1) Prototype on my own, without an engineer
2) Don't just talk lean, do lean
3) The product must generate revenue from day 1
While I am not an engineer, I had strong enough digital skills to set up websites and leverage other tools to prototype. Month 1 was building the prototype, month 2 was getting it out to the marketplace and actually getting some early sales ... and then plowing that money back into the business to improve the product. 10+ years later, the business brings in a respectable middle class income, has helped put my kids through college, and, as TFA articulated, lets me "pursue any and all ludicrous business models, with no oversight."
Like a lot of people who bootstrap, I had to consult as well (still do, mainly as a hedge against platform risk). I am eternally grateful to my spouse who not only has an income to help support the family, but also good health insurance (more on this below, see https://news.ycombinator.com/item?id=40707068).