The thing that's going to gut this economy is the fact that we're now spending 40% of our federal budget on programs for seniors, you know, uh Medicare and um and social security and all these basically old people vote and the Dian democracy is working too well and we keep transferring money from young people are more productive to old people who are less productive.

The Prof G Pod
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@underscoredpodcasts·June 23, 2026

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Private insurers may be an unnecessary middleman, but the amount they extract from the system is not large compared to the amount that gets either appropriated or wasted by the people providing the care. So why do Americans — especially American progressives — focus so obsessively on health insurers instead of health providers? In a post two years ago, I hypothesized that it's because insurers are the part of the system we have direct contact with — the people who have to tell us "no" when we can't afford some treatment.

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