Medicare pays hospice a flat per diem. The same daily rate whether your team makes one visit or five. That means the margin in hospice does not come from better care. It comes from two things: enrolling patients who need the least care, and holding service intensity below the per diem. Longer stays of low-acuity … Continue reading a16z Funds DOGE Pivot From Gutting Government to Squeezing the Dying
Elon Musk Just Taught Us Everything We Need to Know About Government Fraud There is some very TROUBLING news from the front lines of fiscal responsibility. As you know, our dear hero Elon Musk recently stepped down from his heroic role at the Department of Government Efficiency, or as I call it Definitely Our Greatest … Continue reading DOGE Failure Blamed on Baby Pandas
When efficiency becomes the supreme value, it crowds out everything that actually makes systems robust and humane. It’s weird intellectual laziness disguised as sophistication. Like, “we’ve solved it, just optimize for the single metric!” But real systems – whether they’re societies, ecosystems, or self-driving cars – are irreducibly complex. The obsession with efficiency creates blindness … Continue reading Efficiency is Idiocy. DOGE is a Racist DOG Whistle
A new Nazi Information Control System is being built by Peter Thiel and Elon Musk. In 1933 William Randolph Hearst actively worked to install fascism in America. German intelligence archives reveal his Berlin bureau paid Hitler for “friendly coverage,” while Hearst personally met Mussolini multiple times, featuring him in positive newsreels. Hearst’s papers promoted German … Continue reading DOGE and Palantir Mirror the 1933 Nazi Information Control for Genocide