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Cake day: May 1st, 2026

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  • Agree. I’d love to see someone do a rigorous accounting of any degree program, especially with international comparisions. I once went through a couple of US state universities, and that generally supported the hypothesis of ‘cost of instruction hasn’t changed in 50 years, but burden of payment has shifted from state taxes to tuition,’ but that was based on whatever the schools published as ‘cost of instruction.’ I’d believe that international cost of instruction follows purchasing price pairity, and it seems more expensive in the US because it’s all tuition and no public payment.





  • The US currently spends about $5 trillion on healthcare. About $1T of that goes through Medicare, another $0.9T through Medicaid, which leaves about $3T. Non-government spending is $1.6T through private insurance, $0.6T out of pocket, and $0.5T charities.

    The “universal healthcare would be cheaper argument,” which I believe, is based on shifting that $3T of private payments into government spending and bringing the ~85% efficiency of care by private insurers up to the 98% that Medicare claims. i.e.: eliminating roughly $400 B of insurance company profit. That still requires $2.5T revenue increase, which is about 50% of current revenue.