Hacker Newsnew | past | comments | ask | show | jobs | submitlogin

Ross Perot in 1992

https://www.youtube.com/watch?v=VRr60nmDyu4

We have shipped millions of jobs overseas, and ... a strange situation, we have a process in Washington where after you serve for a while, you can cash in, become a foreign lobbyist.

We have got to stop sending jobs overseas.

You're paying 12, 13, 14 an hour for factory workers and you can move your factory South of the Border, pay a dollar an hour for your labor, have no health care. That's the most expensive single element making a car. Have no environmental controls, no pollution controls and no retirement and you don't care about anything but making money.

There will be a giant sucking sound going south.



Indeed, this was one of the first things I thought of too. I remember well the jokes about Perot being crazy, frequently used to dismiss his views. I'll never forget talking with an educated Perot voter (a friend of mine) at the time and actually being confronted with the real views, not a shallow strawman, and realizing I didn't have any good answers because I hadn't actually thought about it. That was a good maturation point for me when I started realizing the power (and danger) of bubbles.


>I remember well the jokes about Perot being crazy, frequently used to dismiss his views.

Was he crazy or was he made to look that way as an excuse to dismiss his views? Sitting here in the 2020s knowing what we know now about "how it all works" it sure does cast a lot of doubt upon the past.


Isn't is similar to Carter being depicted as a 'weak president' because he had more progressive ideas than an average US president, which make similar amount of sense.. and hence best ridiculed as a threat to "greed is good" prevailing ethos.


He was depicted as weak because during his time an entire US embassy was held hostage in Iran for more than a year. Couple that with inflation reaching 14.8% and now you understand why.


If you're interested and aren't willing to take OP's word for it, the 90s are recent enough that you can probably read contemporary news articles/opinions pieces about him online (and almost certainly at your library). You can also read up on his views/life on Wikipedia.


Porque no los dos?

He was a super-rich guy, who had had too many people telling him he was a genius for way too long (reminds you of anybody?), and so was way too sure of himself. A bunch of his ideas were crazy, which doesn't mean others weren't trying to dismiss his views.


> A bunch of his ideas were crazy

Which ones?

btw young idealistic me voted for Perot in 1992


All shoe sizes should only be small, medium, and large. He really did have a lot of very ridiculous ideas. He also had a lot of extremely good ideas and incredible understanding of socioeconomic conditions.

His book “United We Stand” with modern context is quite amazing considering it came out in the early 90s.


I too would like to know.


The POW stuff was actual insanity


Powerful people like those who control both parties and our news media don’t tolerate outsiders. When you have the power any deviation from status quo is a threat. A side effect of this is that voters stop listening to the talking heads and politicos when they call some political outsider a dangerous loon even when that may be a valid point.


I’m not directing that last sentence at the president or RFK, but I’m guessing that’s the reason for the downvotes?


I had a similar experience when I learned about Ron Paul back around the 2008 election. It was also the first time I had my eyes opened to information suppression when Fox News edited some of his answers out of rebroadcasts of debates.


Same! I actually watched the debate live (on AFN) while in Iraq (deployed), and when I got home and got into discussions about it with friends I had a hard time believing we had watched the same debate. Turned out we didn't, they had watched the edited version. That was extremely eye opening


He was't crazy, just thin-skinned and not suited for politics.


The GOP/Bushes blackmailed him into dropping out of the election by using his daughter, threatening to out her as a lesbian right before her wedding. How thick a skin do you need for that?


My comment was more in general, not about any one event. Apparently he was also a conspiracy theorist and this whole thing about an attempt to disrupt his daughters wedding seems to be one of those, and he admitted he had no evidence.


> the jokes about Perot being crazy

I remember the debates around the time, though, and what most people said was that shipping manufacturing jobs out of the united stated would actually create prosperity here so that the manufacturing types could "move up" into less menial work. They're saying the same thing now, and although it _does_ seem that that did happen in the 90's when all the manufacturing jobs went offshore, it doesn't seem to be happening now.


One of my main arguments for a universal health care scheme in the united states is how horrendously expensive, for employers, health care is. Lets totally ignore efficacy, moral arguments, expense for the patient, etc. If you are a company in the US a large percentage of the effective compensation of employees is healthcare. A moderately good PPO is like ~$10k+ a year per employee. You can pay workers in some other countries less than just the cost of paying for health insurance for a US employee.


As someone paying for a family on a marketplace bronze plan, that’s a bargain! I think our premiums will exceed $20K this year.

With all of the medical group consolidation, all of the wait time woes our Canadian friends always complained about are the reality here now as well. So I’m paying more than anywhere else on the world and have to wait 6 months for a PCP appointment. We have the worst of both worlds.


I'm curious to compare this to other countries that have state owned/mandated insurance and are so far still mostly covering everything and which are always touted as "superior" to the US, who "have the most expensive health care system". Can't use Canada as OHIP et. al. don't cover much and the same employer tied insurance scheme as in the US exists and is necessary.

An example of a country with "good healthcare" and such a system would be Germany. Extra insurance does exist there as well nowadays from what I understand but health insurance isn't tied entirely to employment and the extras are things like a 20 EUR per month to cover the co-pay on large and expensive procedures. While private insurance exists there too, I want to compare to the often touted "free healthcare" i.e. public system. There are still different providers even under the one public system.

So from a quick search, Germany has insurance rates from ~14-16% of gross salary, half of which the employee pays from their gross salary. But most insurances have an extra percentage they charge on top. I found one as an example that charges 17.29% total, which if you're self-employed, you have to cover yourself (to be comparable to your marketplace bronze plan being entirely self-paid).

Now the question becomes: Are you paying more or less as a percentage of your salary and by how much?

(and side question for your parent I guess: how does that compare to the $10k the employer pays, which would be 8.645% in this example)


It is actually more complicated than this implies. For example hospitals are often held afloat by Medicare/Medicaid spending (25%/19%). Private health insurance is about 37%, so larger than either, but smaller than both. But then you have to remember that some of the private health insurance is being subsidized by taxpayer dollars (e.g.: the ACA subsidies), and that private health insurance is largely coming from tax exempt dollars (a form of subsidies). So where the costs are actually being paid is more difficult.

https://www.kff.org/health-costs/key-facts-about-hospitals/?...

I am not sure where your question about a percentage of your salary is valid on the face of it. Do you count the employer portion of your medical coverage as part of your salary? Do you count the tax exemption? How do you figure the taxes taken out to support Medicare/Medicaid/Veterans Health (all of which are required to support the system as it exists)? And how do you figure that for single payer systems?

So a much more direct way of comparing is to look at total costs per person, and then figure out how outcomes compare. When you do that the U.S. comes to about double the cost, and generally worse outcomes. Conservative politicians will scream about how long it takes to get procedures, but the research shows that elective procedures take about the same time (and no-one waits for emergency procedures in comparable systems).

https://www.pgpf.org/article/how-does-the-us-healthcare-syst...


That's a fair point overall but not why I asked.

I asked from an employee and cost perspective. So whether or not to count the employer portion depends on whether we're comparing one or the other. If you buy on the marketplace in the US, compare with the full cost in the example I gave for Germany. If you get insurance through your work the US/CA, compare with the employee only portion (as the employer pays part of the insurance there as well).

Theoretically it's even more complicated as at least in Germany private insurance also exists and is cheaper if you're a healthy single youth and more expensive if you're an older family ;)

But again, like you say, it is totally valid to also compare outcomes / wait times per dollar spent of course.


Canadian (OHIP recipient) here. As a long time employer, and former employee, I can tell you that no one takes a job here for the heath care. Some things like dental and vision are not covered (unless you are under 18, over 65, or low income), but everything else is. Over the course of a decade my father in law had 3 heart attacks, a stroke, and ultimately lost a year long battle with lung cancer. The total health care bill to him (or his employer) was $0.

Now the downside … because health care is free, everyone uses it and the wait times are longer. My grandfather recently required an MRI (non life threatening). The wait time in Ontario was 3 months. He drove to the USA, paid out of pocket, and had it done within in week …


> Now the downside … because health care is free, everyone uses it and the wait times are longer. My grandfather recently required an MRI (non life threatening). The wait time in Ontario was 3 months. He drove to the USA, paid out of pocket, and had it done within in week …

Imo, singapore solves this well, by ensuring that some cost is borne by the patient at point of use, but it's never anything excessive. No one goes bankrupt from emergency hospital visits.


> Can't use Canada as OHIP et. al. don't cover much and the same employer tied insurance scheme as in the US exists and is necessary

False. From what I know, only prescription drugs, dental, and vision are not covered. And since Americans frequently drive to Canada to buy prescription drugs, we can assume that's not as big a burden as in the US. But hospital stays, surgeries, lab testing, imaging, doctor visits, vaccines are all fully covered.


Fair enough, I guess I got carried away given the private insurance has to cover drugs, which would otherwise be covered by the provincial insurance (like OHIP), if you have it.

Private insurance also can cover a higher percentage, i.e. provincial plans do not always cover 100% of everything. Also, Health Care Spending accounts are in many cases part of private insurances and can be used to cover things that provincial plans do not cover at all (unapproved drugs et. al.)


And just for context … if medication is not covered and has to be paid out of pocket, the cost is generally under $100. Canadians don’t have $1000 medical costs


> provincial plans do not always cover 100% of everything

Like what?


Since we were using OHIP as an example: https://www.ontario.ca/page/get-coverage-prescription-drugs#... and following.

The first info about what's not covered for example is concerning diabetes. There's a limit to the number of test strips for example. I'm no diabetic, so I don't know if these numbers are "enough" or not but there is an actual limit. It also then states:

    Syringes, lancets, glucometers and other diabetic supplies are not covered by the ODB program. 
If you're a senior with "too much income" you also have co-pays/deductibles, meaning the coverage is less than 100% of the cost of the drug:

    A single person aged 65 years or older with a yearly income above $25,000 after deductions pays:

    the first $100 of total prescription costs each program year (August 1 to July 31 the following year)
        this is called the deductible and is paid down when you fill your prescriptions
    after paying the deductible, up to $6.11 for each prescription, filled or refilled
        this amount is called the co-payment
This: https://www.vivahealthpharmacy.com/private-insurance-vs-ohip... too.

I'll stop here but I'm sure this is both similar in other provinces and/or other limits may apply in specific cases.

Just to be clear: I'm not saying the OHIP / other Canadian insurance programs aren't great overall in comparison to the US. But neither they nor I suppose Germany's "full coverage" actually are in all real world cases.


This is all prescription drugs.


Correct. Which doesn't invalidate either your or my previous points.


I'm pretty sure the original 10+k/yr/employee for good ppo coverage is a radical underestimate, for what it's worth, though I guess "way more than ten" is technically part of the "ten+" range, haha.

The last time I had reason to look at full market-rate price for a family of four for a good PPO (Seattle market, circa five years ago, large tech company), it was around 3300 USD per month, or over $39k/yr. That was for cobra coverage, so a combination of what I would have normally paid and what the employer would've (about one third us and two thirds them when I was employed by that corp). I can only imagine it's gotten more expensive since then; we left the country three years ago.


Just as an FYI, that is a massive outlier based on available data.

My employees are about $500 per month in a major metropolitan area, and a family of 4 can run up to $2000 a month for the most expensive plans (I cover individuals and their spouses in full for standard plans, and could cover one dependent for basic plans).

I looked at marketplace plans in WA because I was curious, and it looks like it's about the same as where I am but nowhere near what you were quoted 5 years ago.


I got the $10k a year employee from chatgpt with "Assume I have a company with 100 employees in New York, how much on average does it cost to provide health insurance" and it gave me poor, moderate and good ppo plan prices. I figure this seemed reasonable for ballpark figures from employer friends, so the numbers may be very well off.


The key part of your statement is that you're paying for a family.

Individuals do not cost $10k per year under any normal circumstances, and if you're paying almost $2k a month for a family bronze plan, you either have a lot of kids, you have some unusual needs, or you are getting ripped off. Even more so if you're waiting for a PCP appointment, because that is unusual as well.


So the ~$10k a year is just what the employer is paying in my example, taking some numbers from chatgpt for a medium sized company in new york. Not even counting the employee side of the premiums, which can be crazy high as well.


> One of my main arguments for a universal health care scheme in the united states is how horrendously expensive

The costs need to be fixed, first. Moving to the government/taxes paying for it doesn't fix that.


> Moving to the government/taxes paying for it doesn't fix that.

It kinda does, bigger players have more bargaining power. There is no bigger player than the government in a universal healthcare system.

Furthermore, a significant cost in healthcare is all of the bureaucracy around billing. Much of that goes away with single payer.


It would be very tough to reduce pay for doctors and other staff. The United States medical industry is one of the highest paying in the world.


This is true, but frontline healthcare staff wages are only one part of the problem. For specifics you can see details here (e.g.: US average front-line healthcare worker salary: €74.450, Germany: €40.522):

https://www.qunomedical.com/en/research/healthcare-salary-in...

But even absent any movement there you have a lot of savings to be had away from that: 1. The U.S. medical administration costs have ballooned, in large part because of the highly adversarial billing system between insurers and practitioners. Medicare/Medicaid is much less (but not completely) unpredictable. Doctors complain bitterly about the prices at times, but the system is much more efficient. 2. U.S. insurance companies are woefully inefficient. To the point that companies complained bitterly when the ACA required them to pay out 80% of premiums as medical payments. Before that there were companies making more than 20% profits. The most efficient insurance companies today use about 12% of their revenues for non-medical care. In comparison Medicaid uses about 3.9%.

There are lots of other parts you could address as well: 1. Fraud drawn to the huge payouts for medical bills. If people's accidents were just covered as a normal part of life those payouts, and most of that fraud just goes away. 2. Malpractice insurance. This is like the first, but would mostly be solved by a combination of single payer and a working medical review system (seriously, what we have now is the definition of regulatory capture).


Wages for doctors and staff are not the cause of high medical bills.

The US spends something like $4.9 trillion dollars on medical care, and employs around 1 million physicians, 4.5 million nurses, or 9.8 million health care workers in total [1].

If this was paid out in wages the average health care worker would be make almost $500k/year. Compare that to the wage of the average doctor at $335k/year [2] or average nurse at under $100k/year. There is a lot of money in medical care that is not going to wages.

[1]https://www.census.gov/library/stories/2021/04/who-are-our-h...

[2]https://www1.salary.com/Doctor-Salary.html


>The United States medical industry is one of the highest paying in the world.

Which the industry views as a historical accident, and now that they basically own all the hospitals and other companies, you can expect them to fix it.

I would expect neutering Doctor labor power will happen soon. This admin will get a small donation or two, and the republicans will insist that letting doctors have high wages is the sole cause of our expensive healthcare. They've never really cared about the truth, seeing as they have often claimed "Medical tort" is the cause of healthcare costs, even though places like Texas, which have limits of Medical tort payout don't have cheaper healthcare.


Medical tort is a large part of our bloated healthcare costs. The problem with these discussions is that our healthcare system is horrible and has many things going wrong, so both sides can simultaneously be right.


Doctor and nurses are not bureaucrats. Single payer would significantly reduce the bureaucracy in healthcare, and simplify everything for citizens and businesses.


The main cost driver in medical care is provider (nurse, doctor, etc.) wages, not bureaucracy or drug prices (though they're frequently cited). I have tired of posting sources for the statistics, but they are very easy to find.


From what I've heard from doctors online, a large chunk of their time is basically spent just coaxing insurance. They waste time figuring out what they can and cannot bill, tailoring that to every patient, and constantly keeping records of everything. I think, for many doctors especially in small practices, treatment is a minority of their time.

Obviously, paying someone 300K a year to sit on a 1 hour peer to peer explaining why they think they should do a surgery is just bad business. But, we do it, and I think a lot.


Exactly. You can believe the "main cost driver in medical care is provider (nurse, doctor, etc.) wages" all the live long day, until you realize they too spend a lot of their time dealing with bureaucracy. The true cost of bureaucracy cannot be accounted for by simply tallying the number of bureaucrats and their salaries.


So, let's look at UnitedHealth Group; do they deliver health care?

If there were single payer, what would their role be in the healthcare delivery process?

Apparently they made 2.3 billion in profits on 113 billion in revenue in Q3 of 2025. How much of that friction would evaporate if they weren't in the healthcare delivery infrastructure.

Someone once said "the best part is no part" ?


Compare UPS or FedEx to USPS; the first two companies are profit-seeking, yet very competitive with the 'public-oriented' (and legally privileged) USPS. Having the government in control does not necessarily lead to better value.


They are very competitive in the places where most people live, but the USPS delivers to many more places that the others do not, and still maintains cost competitiveness.

This turns out to be a decent analogy to healthcare: insurance companies do not provide the coverage, universality and simplicity that a single payer system would; instead, you'll get something like insurance coverage networks providing spotty and inconsistent care.

Either approach has upsides and downsides, but single payer, universal coverage for basic and emergency healthcare seems like a no-brainer.


I've lived in cities where the city ran the utilities; they were generally way cheaper than the utilities from PG&E.

The USPS is obligated to deliver letters at the same cost to everyone in the country, and they do a pretty okay job at it -- I've certainly had horrid events from UPS and FedEx, and those guys get to just pass the crap delivery tasks off to USPS if they don't like it.

Lots of old people in the USofA seem to like their government run medical insurance, same with people in the VA system.

The Doge crew spent months looking for fraud waste and abuse and I don't see any big law enforcement results from all the fraud they found, and I don't see anyone crowing over all the waste they curtailed.

It's possible that the world's more complex than you imagine, and that sometimes people just do their jobs (IE the bureaucrats) and hard problems get solved.

Now, tell me again, what part of the health care system is UnitedHealth? What critical problem do they solve?


$2.3 billion is nothing in a $5 trillion system. Doctors make around $500 billion in the US. Their wages are much more significant than insurance profits.


$2.3bn is profit after subtracting costs. Doctors charging time to deal with bureaucracy needed by insurance adds to the costs that are already factored into the revenue. Single payer wouldn't just eliminate the profit, but also those costs.


Buddy.

That's 2.3 billion in ONE QUARTER of 2025, on a revenue of 115 billion. In a quarter. There are four quarters in a year.

$5 trillion is how much is spent in all of healthcare in the USA for the whole year.

UnitedHealth's revenue was $500 billion (and net profits is 10 billion) for the year. For one insurance company. There are 6 that each have more than $80 billion per year in revenue. This isn't to mention the billing departments for each hospital, the claims processing providers smaller doctors need to enlist, the endless hours interacting with insurance companies, etc.

And tell me, please, what specific healthcare outcomes are driven by insurance companies?


Insurance companies are instrumental in ensuring that useless procedures arent performed. Over use of service is one of the biggest reasons for inflated costs in our healthcare system. Now to be clear I would prefer a medicare for all system implementing that, but under m4a doctor salaries are still a major issue that need to be addressed.

Basically all healthcare spending in the US goes through insurance companies, Im not sure why you have a problem with that. Under m4a medicare would spend trillions a year, would you be complaining about that too? Large profits would be a problem, but that doesnt exist. Our healthcare system is rotten top to bottom, insurance is part of that but imo it gets way too much blame for existing in the system the government has created.


Insurance companies basically mirror the reimbursement policies put in place by medicare. I'm sure most providers would gladly take lower reimbursement from a single provider over the chaos and pain driven by insurance companies right now.


Basically every provider does not take medicaid so I suspect you are wrong about that. Again Im not happy with the insurance situation, I just think its barely top 10 in terms of problems with our healthcare system. The bureaucracy is required because of our horrible fee for service payout system. Without getting rid of that m4a would still requires an army of billers because republicans would constantly be screaming about the government being scammed(and they wouldnt really be wrong, healthcare providers do tons of wasteful procedures and the bureaucracy is the only thing slowing that down(recent example I came across, currently we wake up obgyn's to perform emergency medically required abortion services at the hospital even though abortions can be done with a pill and the nocturnist can safely oversee the whole thing, no need to wake anyone up. This is only done so providers can charge us more money. This shit is happening constantly over and over again every time providers can find ways to nickel and dime us and patients have no choice)). We dont actually need single payer to get rid of fee for service so really I think private insurance is an orthogonal problem to the billing army.


Out of curiosity...

I said "medicare sets fee schedules" and you respondeed "nobody takes medicaid"

Presumably you know the difference between them?


Asking as not an American - $10k per year, how much % of a yearly salary is it?

In Europe (here: Germany example), which is frequently seen here as the ideal example of healthcare spending:

Employees and employers typically split around 14.6% of gross salary for public health insurance. [1]

[1] https://feather-insurance.com/blog/germany-healthcare-statis...


The problem is that in the US it's a fixed amount vs in Germany a proportion of your income. This works OK for higher incomes but for lower incomes it's a big problem. And as always, the people in the middle get screwed. Not enough money to afford the premiums easily but too much money to get subsidies.


SO this is just what the employer pays. The employee then pays premiums monthly as well for access. Employers pay somewhere between $5k and $25k (or more) per employee a year for health care depending on quality and portion of premiums they pay for the employee. Usually its split, so someone makes $80k a year, they pay $10k a year in premiums, employer pays $10k a year in premiums.


> Asking as not an American - $10k per year, how much % of a yearly salary is it?

Depends on if you make 35k or 200k/year


The irony of the situation when you realize that you can probably get healthcare yourself in India (not sure about other countries) but for even a very good healthcare program to be around 25$ per month

And that 10k$/year can be considered middle class / heck I can even argue just slightly above middle class in India

And you can actually enjoy food and a lot of things really cheap as well

Usually the only problem becomes if something is inherently expensive (think college or land) which is where PPP does hurt but in everyday life, I think India's decent to live in.

Now I want to ask you but even if someone spends around ~$10k+ a year, even then I have heard people describe american healthcare subpar. Like why? Is it just corruption at healthcare level and lobbying efforts?

Is there truly nothing that the average american can't do about to make things better for the healthcare situation. To me its feeling like america's moving even backwards right now from cutting medicaid putting even more strain on the amount and still even on the average person themselves as well.


There is no simple explanation, but an important issue is that there is no price discovery mechanism or system pressure for efficiency. You also may not know that the US healthcare system is also an elaborate jobs program. Walk into any hospital and you will see 5-10 mostly young women doing basically nothing. I don’t know why the powers that be decided that the US should divest itself from any useful work, but here we are. Now we’re a couple generations into this social experiment by “smart” billionaires and their courtiers, and the military industrial complex is begging the Taiwanese to hold our soft hands and teach a blossoming generation hipsters and resentful immigrants how to build the computers we invented. We had a good run, but we’re Rome circa. 400-500 AD. Don’t let the marketing in Venezuela fool you. I’m just hoping the robots give us a few more decades of working plumbing.


It's like every other compliance cost. It hurts the little guys more than the big guys. Too much of the US economy is big players so the status quo persists.


It's a price to, in a way, handcuff workers. Systemically combined with policies that make sure unemployment doesn't get too low, weaken labor power, tie other benefits to employment, etc. Workers know they need your job to have affordable healthcare, so they have no choice but to stick with it even if it is somewhat crappy.


"how horrendously expensive, for employers, health care is."

So why aren't they pushing for abolishing employer-based health insurance? They had no problems getting rid of pensions but for some reason nobody really lobbies for employers to get out of the health care business. The same for 401k. Why do companies have to manage those instead of just contributing some money and let the employees find the right package on the open market?

It's really weird.


Union employees have negotiated healthcare into long-term contracts, making it hard for those employers to switch. (Feel free to read up on so-called "Cadillac plans" during the original ACA negotiations for more details). The size of this market makes employers exiting a non-starter IMO. Any org that wants to exit will see a huge resistance to this change even if they can showcase all the common benefits.


Because if they let employees manage their own retirement accounts some of them would gamble all of it on crypto or options and lose it all. Then, because our society has become fundamentally incapable of saying "You are an adult. You have nobody to blame but yourself, and now you will face the consequences," this will become someone else's problem to pay for it.


>Because if they let employees manage their own retirement accounts some of them would gamble all of it on crypto or options and lose it all.

This part is true.

>Then, because our society has become fundamentally incapable of saying "You are an adult. You have nobody to blame but yourself, and now you will face the consequences," this will become someone else's problem to pay for it.

Except that's an incredibly stupid short-term way of thinking. Because regardless, we end up paying for people's mistakes. As we should, because that's the whole point of society - we need to take care of the failures, the degenerates, the pieces of shit, etc because they play an important role in society - they too are humans and some of them weren't gambling away their savings out of a sense of fun, they did so to be able to continue to live in a day and age where costs continue to skyrocket, job growth is negative, and the economy is being hollowed out. We have many tools and mechanisms to help the winners in society. We need that for the opposite party, too. In winner-take-all capitalistm, the losers will always outnumber the winners. And you need to make life palatable for the losers, in hopes that their luck may one day change. Because if you don't take care of people who continue to lose and have nothing going for them, they will grow in numbers and eventually eat you.

And besides, we've bailed out enough bad actors in important sectors of the economy that main street deserves to be taken care of too.


Someone will always have to pay for it, because we don't generally just let people die. And even if we do, someone still have to scrape their rotting corpses off the street, no?

Radical individuality is an illusion. Yes, it would be nice if everyone could be solely responsible for paying for their healthcare or retirement. But is it possible? If you can't answer if it's possible or not before you do something, you probably shouldn't be doing it.


And yet they never lobby for nationalized health care.

Because "Deal with our illegal, immoral, or stupid work requests or literally lose your healthcare" is such a massive bargaining chip for them.

They would rather spend more money and have more docile and controllable workers, but not spend that money on paying workers more to be docile and controllable.

It's not about the money.


We almost do. Employers must provide insurance. If you’re unemployed you can probably get Medicaid. We have private entities handle the details instead of something that looks like the Post Office. There is nothing anyone in Congress can do which results in all 8 billion people on Earth having instant access to all conceivable treatment in any location the the US. Like socialized medicine, there is no meaningful price discovery mechanism in the US. Unlike socialized medicine, it’s a lot harder for political parties to conduct pogroms by rationing resources and euthanizing demographics that don’t vote the way they like.


Not sending production to the place with the cheapest labour is great way to have your companies being outcompeted by foreign actors. Unless we want to return to mercantilism a global empowerment of organized labour globally is the only real way to fix this.


This assumes that leadership has a vision beyond the next quarterlies. Offshoring is seen as a solution to organized labor, unfortunately.

Exec compensation above a reasonable salary needs to to tied somehow to longer term outcomes.


Any executive in America can probably have a vision if they so chose. Their hand is forced by "the system".

The Weathertech CEO (or maybe I'm misremembering, in any case it was a big private company CEO) has a good talk about this IIRC.


The only reason offshoring is ever done is because leadership does have a vision beyond the next quarter. Offshoring takes years to pay off because of the upfront costs and time it takes to work out how to run the new operation efficiently.


Forgot the whole crux of my point. Labour needs to be empowered globally, to minimize the benefits of offshoring.


If your plan relies on total coordination of the the entire globe you have no plan.


I guess, but the real issue here is that capital will mount a concerted, decades long effort, to prevent global organization of labor. Its not like its per se impossible to get enough global labor organization: its just profoundly, aggressively, even murderously, opposed by people who have power.

I guess we could think of that as just "part of the reality," but I think its a little silly not to at least mention it.


It is not realistic but even worse it isnt even desirable. There is huge swaths of opposition to "global organization of labor". The last thing you want is to oppress a bunch of people under your vision of perfect government.


I don't see how mass organization of labor constitutes an oppression of anyone.


Labour is still going to be cheaper in offshore countries simply because of purchasing power parity.

Even good conditions and everything in country like India paying them around 10-30k$ is seriously really really good (source: I live there) and its english speaking and well integrated etc.

I saw another comment which mentioned that just merely healthcare in america can cost around 10k$/year

So Labour should be empowered in a good way but this idea still won't help america simply because of power purchasing parity.

Not to forget that America is going through some really tough economic crisis right now which it needs to figure out on. The deficit is still high and everything and companies are favoured completely capitalistic and so combined with all of these factors, we really come to the situation where it is.

I appreciate your optimism but I have my doubts. Especially when one reads the tense atmosphere of America right now


I think it's hard to overstate how big of a deal "Labour needs to be empowered globally" is.

Think of it as two huge reservoirs of water, one of which is at a higher altitude. If you connect them with a pipe, they will inevitably tend to equalize - this is what is happening with globalization. It's good for the developing world but bad for the developed. The labor class not only needs to demand better working conditions, but also standards of living, environment regulations, housing, etc. etc. until equilibrium is reached. The owner class will be exploiting the difference until that happens.


I doubt that an equilibrium can ever be reached tho.

The biggest issue is that even if one provides better working conditions, but also standards of living, environment regulations, housing, etc. etc

Even then, there would still be an imbalance and equilibrium would still not be reached simply because of power purchasing parity and other factors.

Plus another issue is corruption. There are rules and laws already in place but corruption takes their way

Also another thing but corruption can actually also take regulations and hijack them and actually penalize things simply for reducing competition etc.

Corruptions also the reason why we have enough food to feed the world but corruptions in the way and I am not sure if there is a way to solve it

y'know I have this pet theory that corruption is everywhere but the incentives of corruption/ways changes.

In the UK, the prices of rent are so damn high, this is a developed country.

In America, corruption takes place in the form of lobbying and the coupling of politics and finance and also the immense parity of money between the average person and the CEO salary's ratio being one of the highest and the shrewd incentives being one causing these issues in the first places being written almost in law, CEO's of major companies will fire 10_000's of people or more in a blink of an eye.

China, although secret, In my opinion has corruption inside the country as well from a more political standpoint as well

In India, there are some regulations and systems meant for good but people skirt through them via corruption.

So I don't know but to me corruption feels natural in the sense that altruism can't be the only gene and biology would dictate maliciousness to be present

This does make me sad thinking about it but I think that the nash equilibrium is unfair. This is how the system works, this is a cycle and Countries Like India/China once were super rich then became poor then are getting on their path again

At the end of the day, the person speaking about this Jensuan huang is corrupt as well selling AI hype in the first place, spiking actual prices of actual goods people buy thus contributing in inflation but also that some people accuse them of even writing this statement as a way to people please

When I had thought about it previously, I think um the best things we can do is probably reduce the incentives of corruption and then the nature of good ideas would take prevalance.

It's also just not a developing vs developed countries thing anymore as I said. We see in the news cycle how much blatantly corrupt America's current administration is becoming.

At the end of the day, facing reality is hard but that's the only way we can really put real change in the world.

if you have some thoughts about how to counter corruption in your idea/ actually creating incentives to be good and not corrupt or even malicious compliance in your idea and I am listening and I'd love to discuss more about it.

I wish there was less corruption but I am starting to think that incentives are set this way to help corruption and those themselves might've been/were brought by corruption themselves as one wrote on HN once that corruption brings more corruption , so how can one stop this vicious cycle? Because if that happens, I am telling you that America has enough money but the corrupt forces distribute them in a concentrated manner, even solving that problem to me feels like something which can help empower the labour globally

perhaps the rich can be taxed for what they deserve and that money can then be spent in developing countries labour class in your idea? This to me feels the most okay way to help but the problem is, nobody's taxing the rich/its hard because of all the loopholes/malicious legal compliance in many places.


I don't have any solutions unfortunately but I appreciate your considered response!


> Not sending production to the place with the cheapest labour is great way to have your companies being outcompeted by foreign actors.

Or it's a great way to spur innovation in automation, which has other beneficial downstream effects. This is what people always seem to forget to consider, and I don't know why.


The world has seen dizzying levels of innovation over the last 100 years. It’s STILL cheaper to outsource for huge swathes of manufacturing.


Sure, because of legislation. And legislative changes could undo that advantage and thus spur more innovation.


> companies being outcompeted by foreign actors

I've been hearing this since the early 90's, and I'm still not seeing any evidence that it's true.


That's like rich people threatening to leave if taxes are raised. It's always a bluff.

And, the cheapest labor is slave labor like Dubai and the US (via prison labor in current use by multiple major corporations) use already. If there's no floor of standards, that creates perverse incentives and ridiculous instability.


> Not sending production to the place with the cheapest labour is great way to have your companies being outcompeted by foreign actors

This is is a fallacious argument. Most or even all of those places couldn't have hoped to out-compete the domestic companies without the traitorous companies shipping complete factories to them. The reason the Soviets didn't outcompete us wasn't down to just incentive structures (though that was part of it), quite alot of their failure was down to being locked out of the market on machine tools.


> traitorous companies shipping complete factories to them

https://en.wikipedia.org/wiki/Dodge_v._Ford_Motor_Co.

Basically, A company is bound by legal precendence to focus on capitalistic gains. It would be better if we argue the existence of other structures/their prevalence but I don't think that we can blame the entire companies but the darn structures that they are in

A CEO makes 100x (yes its not becoming hyperbole, sad reality) than workers. He is given power and he is given incentives to cut money wherever he can. He sees off sourcing and does this.

But I am not seeing America go towards a path like this, on the contrary, we are seeing America try to actively talk about workers in here and then talk about businesses without doing anything about all the issues in the first place.

There is a fundamental conflict of interests and America's promising both sides. It honestly feels political to me now because the news cycle for America is moving so damn fast (which is really really bad) that nobody comes to question these things in the first place or most aren't because they aren't literally having the time to do such with all the news cycle imo

I don't really know what America can do at this point.

> This is is a fallacious argument. Most or even all of those places couldn't have hoped to out-compete the domestic companies without the traitorous companies shipping complete factories to them. The reason the Soviets didn't outcompete us wasn't down to just incentive structures (though that was part of it), quite alot of their failure was down to being locked out of the market on machine tools.

Do you have any sources for this, I found it quite fascinating that machine tools can play such a big impact.

If it is, is it a sort of chicken and egg problem where machine tools require factories themselves which again require machine tools. If so, why couldn't Soviet Union just import some from other countries to bootstrap the production of tools which could then bootstrap all factories?


This just comes down to their incompetence. They were communists so they refused to just let thousands of domestic companies start up to produce the machine tools domestically to solve their problem. China did.


You might disagree, but that does not make it fallacious.


It’s true that American companies have benefited from sending jobs overseas. Instead of trying to stop them, perhaps we could explore ways to share this money more fairly across the country.


Everyone in business seems allergic to "pay domestic workers living wages and provide flexible working arrangements with good work life balance" so we will only arrive there through politics, unions, and structural labor shortages as the prime working age population cohort continues to shrink, imho.

Honorable mention to Senator Bernie Moreno of Ohio for introducing legislation to tax outsource payment flows.

The HIRE Act: 25% tax on outsourcing - https://news.ycombinator.com/item?id=45161419 - September 2025

Ohio senator introduces 25% tax on companies that outsource jobs overseas - https://news.ycombinator.com/item?id=45146528 - September 2025

(US centric perspective)


> Everyone in business seems allergic to "pay domestic workers living wages and provide flexible working arrangements with good work life balance" so we will only arrive there through politics, unions, and structural labor shortages as the prime working age population cohort continues to shrink, imho.

I think its because I suppose we can either talk about small businesses who can be very cost cutting because their overall profits are very thin (you really can't blame them that much I think)

And the medium to large corporations either take Venture funding and want to cost cut to show more growth or maximizing share holder profit

https://en.wikipedia.org/wiki/Dodge_v._Ford_Motor_Co.

(taking an short summary from ddg AI)

The case you're referring to is Dodge v. Ford Motor Co., decided in 1919, where the Michigan Supreme Court ruled that a corporation must operate primarily for the profit of its shareholders, rather than for the benefit of employees or customers. This case is often cited as a foundational example of "shareholder primacy" in corporate law.

This is the root cause of the issue.

Do you know that there is a solution to it

They are called social enterprises and there are legal frameworks to do that. You might've seen some labels given by independent parties to show that as well

So they exist, but nobody creates them, why?

Because, its insanely hard to raise funding in them compared to the average structure. I looked up into it and the system of funding is just created such way where it rewards any and every cost cutting

I think that just like non profits get good value from doing good. A middle way where a company's purpose becomes some aspect of social good and not entirely profits. This might help but we need govts supporting them (similar to perhaps even non profits)

I have a hypothesis that if you provide easy access to lower interest loans with less collateral overall (perhaps even none?, provide micro-grants perhaps) at a federal level/banking level might be the best way to really start up some new innovation whose idea is social mission

Most people have an idea of enough, I think that academically inclined people who create companies would really appreciate this and this could even include the creation of things like google etc. which really just turned evil from dont be evil because of the wiki link/case that happened imo

Taxation as you say in the 25% tax won't really work that well imo as we saw recently in the tax scandal recently in America where billions were lost.

Although so much of US especially its politics is so much lobbied etc. that I find the idea of this change just stopping because it could prove a real threat to the completely capitalist corporations which will fire 1000's of people in an instant

Also whenever you position something as tax, the capitalist forces would find ways to evade it anyway, here let me give some ideas on top of my head

What would happen if people paid outsourcing companies via stablecoin crypto, how would you tax that?

What if things like this can count as gig work and laws related to that?

What if an outsourcer creates their own mini company and such creates an invoice, I am not sure but this would be considered a service so how would that work, is there a service tax if so how much %?

Suppose somebody got a consultancy company to work on a project and then just created the project end to end and deployed it and just tweaked it enough where its a mini saas designed just for that company, the company/consultancy can argue its a saas, so how would the taxation work for saas. Are we gonna reach a point where even things like saas could be highly taxed?

The easiest way seems to me crypto for (bootstrappable outsourcing?) but depending upon the size of the outsourcing, they can employ multiple methods as I gave.

How would the govt approach the multiple loopholes as such?

The whole issue stems from a pure capitalist system where it sometimes rewards to do malicious things so long term, countries need to find ways of supporting social entreprises/funding them.


We did, by lowering prices and returning shareholder value.


If we had some tariffs that somehow just canceled out the exploitation (of people and the environment), that could be interesting. “Stop sending jobs overseas” is too blunt, create a fair international market and let winners win.

But, I don’t think anyone is naive enough to propose such a thing seriously. It is impossible to believe that some administration wouldn’t use it for political favors.


> create a fair international market and let winners win.

Why? It's selfish, but since the US and EU sent jobs out to India and China. India and China, have created protections that make getting those jobs back nearly impossible short of stopping payments. At the same time, these countries have huge trading imbalances (see FR complaining that their CN trade imbalance is untenable) and have become the defacto for cheap labor.


I’m not sure what the “It’s selfish” part means, did you leave out a suggestion of some selfish action you think we should take?

I’m hoping that free markets tend to produce winners more often than protectionist ones. I don’t really want stagnant US companies to just stick around because they cozied up to the government.


Side point about this HN post "Jensen: 'We've done our country a great disservice' by offshoring" currently 3 hours and 129 points

Why does it seem like it is getting pushed down relative to other posts that have less upvotes and with longer times?

Here are some posts that are currently higher ranked.

https://news.ycombinator.com/item?id=46445412 currently 8 hours and 82 points

https://news.ycombinator.com/item?id=46465493 currently 4 hours and 29 points

https://news.ycombinator.com/item?id=46497589 currently 5 hours and 82 points

It does not make sense unless some force is pushing the Jensen post down, or the other posts up?


Doesn’t HN have some system for lowering threads that have, like, acrimonious voting patterns? Under the assumption that they are producing more entrenched argument, instead of informing discussion.


The dignity of three presidential candidates who disagree with each other, sitting quietly while allowing the other to finish using their allotted time…


And yet the timeframe Huang mentions does not go beyond 20 years ago, indicating his statement is little more than political posturing.

Also, last I saw, he wasn’t prevented from speaking at any point in those past 2 decades and I don’t remember any mention from him about these issues despite the fact that there’s been bipartisan concerns about manufacturing in China for at least a decade.

It’s almost like he’s trying to position his company’s profit growing enterprises as a part of helping the poorest Americans to justify the U.S. taxpayer paying for a lot of it, or at least assuming all downside risk…


Who would've listened to (or even knew about) Jensen Huang before ChatGPT?


>And yet the timeframe Huang mentions does not go beyond 20 years ago, indicating his statement is little more than political posturing.

20yr ago you could at least plausibly lie to yourself and say that things were ok. The seeds were sown back in the late 60s early 70s at least. Fair amount of gas was put on the fire in the 80s.


I voted for Ross. Sad he didn't win.


Fatten up the pig, then carve it can you fatten it up again?

American leaders lost hope in Americas ability to build the future. They decided this was as good as it's going to get and squoze the people at every level with unproductive IT, bureaucracy, consumerism. This country doesn't have a workforce capable of building the future anymore, it's dropouts and druggies the lot of them.




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: