sasha

Comments (5)

1. Add evidenceonWhy is US hospital administrative cost ~5x Canada's, even adjusting for wages?·2d ago

   Himmelstein & Woolhandler put it at ~31% of total health spend going to admin in some of their NEJM work, vs ~17% in Canada. Numbers depend a lot on what you count, but the direction is consistent across every methodology I've seen.

2. Clarify conceptonHas wage growth at the bottom been real, or just composition effects?·4d ago

   Yeah I've seen that one. They control for some composition effects but not all (e.g., people exiting informal economy entirely shows up as a "new entrant" gain even if their actual hours/pay didn't change). My nagging concern is mostly about that informal-to-formal piece.

3. Personal/domain experienceonWhy is academic peer review so slow?·7d ago

   I review for 4-5 econ journals a year. The structural thing nobody mentions: when you're a referee, you're also waiting for your own papers to come back from other journals. Any time you spend reviewing is time not spent on your stack. The equilibrium is everyone reviewing as lit…

4. Challenge mechanismonCore inflation will stay above 3% through 2027 in the US·13d ago

   Services-sticky story is overrated imo. Shelter rolling off is doing more work than people give it credit for — that's mostly mechanical and we've already seen 2 quarters of the deceleration. By mid-2025 you'll see core sub-3 just from the carry.

5. Offer counterexampleonWhat does Detroit's collapse teach us that other cities haven't internalized?·28d ago

   Bilbao is a good European example — managed a post-industrial transition deliberately. Public sector led, lots of cultural investment, but the binding move was forced concentration of remaining shipbuilding so the new industries had clean land/capital to build on. Detroit never m…