Re: bike light optics

On 4/7/2024 12:59 PM, Frank Krygowski wrote:

On 4/7/2024 1:23 PM, AMuzi wrote:

>
As regulatory structural inefficiency becomes more burdensome, bribery or outright illegal activity will become more attractive and more pervasive.

 Perhaps so. But I'd call that a universal phenomenon that other countries seem to do pretty well, judging by results.
 Also, "regulatory structural inefficiency" is hardly confined to government initiatives. The insurance industry imposes enough of that to cause U.S. medical care to be the most expensive in the world, and far from the most effective.
 So again, what country has a system of which you approve, or at least like better than ours? Can we compare data?
 If you can't name such a country, it seems like your libertarian dreams are unrealistic.
 

I liked US medical services delivery plenty before it became 'improved until it didn't work'.  But I am admitted outlier; personally almost always a cash customer and we are now a targeted group for whom no punishment is harsh enough.
I have noted here before that I bought a major medical plan for my employees with a $1000 deductible (cost the company $35 per capita), self insured between $5000 and $1000 with the employee responsible for the first $500. Good system for a large group of young active people and trust me no one spends his own cash on frivolous medical visits so it was quite self balancing. We had very good claims/expense experience for a few years.  Then one day the State of Wisconsin decreed that such policies were not expensible unless they included pregnancy and mental illness. Rate quotes were in the $125~$140 per capita range so we have never offered coverage since. That was 43 years ago.
Good medical story-
I occasionally grow wens and would visit a dermatologist every year or two to have one excised. It's a 15 minute two stitches adventure and I'd just hand him a $50 on the way out.  The last time I went he refused the cash, "I've joined a medical group so we will bill you."  Oh did they ever. There's a billing code for 'Office Procedure'. It's $600.
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Andrew Muzi
am@yellowjersey.org
Open every day since 1 April, 1971