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As private equity dominates wheelchair market, users wait months for repairs

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Re: As private equity dominates wheelchair market, users wait months for repairs

#301

Earlier quoted context omitted.

Consider the public schools. You have the customer (the students), the buyers (the taxpayers) and the service provider (the teachers), which are accountable to neither.

Define "accountable"? If a teacher does something awful to a student (e.g. sexually harass them), a taxpayer-funded entity (the school board, the police, or the courts depending on the severity and what happend) will reprimand the teacher. With something less egregious like "giving a the students a bad education", we still have some level of accountability based on standardized testing and school funding. Standardize…

The schools' poor performance relative to private schools is a strong signal of lack of accountability.

Another signal is the firing of teachers for incompetence is practically non-existent.

A third signal is anytime someone from the school talks about solving issues, they always always always put it down to lack of funding, and the credulous journalists repeat that unquestioningly and the schools get their tax increase.

A fourth signal is repeatedly lowering the requirements for a diploma.

A fifth signal is getting rid of "high stakes testing".

A sixth is getting rid of the gifted tracks.

Re: As private equity dominates wheelchair market, users wait months for repairs

#302

Earlier quoted context omitted.

Define "accountable"? If a teacher does something awful to a student (e.g. sexually harass them), a taxpayer-funded entity (the school board, the police, or the courts depending on the severity and what happend) will reprimand the teacher. With something less egregious like "giving a the students a bad education", we still have some level of accountability based on standardized testing and school funding. Standardize…

The schools' poor performance relative to private schools is a strong signal of lack of accountability. Another signal is the firing of teachers for incompetence is practically non-existent. A third signal is anytime someone from the school talks about solving issues, they always always always put it down to lack of funding, and the credulous journalists repeat that unquestioningly and the schools get their tax incre…

> The schools' poor performance relative to private schools is a strong signal of lack of accountability.

How much of that can be attributed to selection bias though? Private schools are pretty pricey, meaning you generally have to come from a fairly rich family to go to one. Rich families can afford extra tutoring that a poor family might not be able to.

A better statistic might be to compare public schools to charter schools, and that's a much less clear cut distinction. I can point you to dozens of cases where charter schools are a joke, and a bunch of cases where they're great, it's not a clearly defined "better" just because there's a profit incentive.

> A third signal is anytime someone from the school talks about solving issues, they always always always put it down to lack of funding, and the credulous journalists repeat that unquestioningly and the schools get their tax increase.

Yeah, so that's just not true. If you go to a poorly funded public school, the calls for funding are immediately obvious. There are holes in the ceiling, often there's no chalk/markers to write on the board, the computers will be from the late 90's and half of them just don't boot up.

You could argue that this is due to simply poor allocation, and there's probably some truth to that, but implying that they're not poorly funded is flatly wrong. Have you even seen a high school in a poor neighborhood in the last forty years?

> Another signal is the firing of teachers for incompetence is practically non-existent.

Fair, but you've worked for private corporations haven't you? Surely you've seen employees that do literally nothing manage to hang around the company for years. I had a friend that jokingly told me when he retires he's going to get a job at Bank of America because he can just show up and do nothing at his desk while still taking home a paycheck. I don't know that that's an issue with "accountability" so much as it's an issue with "large organizations are bad at finding outliers".

> A fourth signal is repeatedly lowering the requirements for a diploma.

The GED has been around for since the 40's. I've never taken it since I did high school the normal way, but I know several people of different age demographics that claimed it's much easier than normal high school, so I don't think this is new.

> A fifth signal is getting rid of "high stakes testing".

I guess I just fundamentally disagree with this being a bad thing. Understanding a subject isn't a binary yes/no like a test implies. Testing can be a good way to gauge the level of understanding a student has on a subject, but "high stakes" implies that the student will be punished in some way unless they pass, and I guess I disagree with the utility of that. Again, it becomes a Goodhart's Law situation.

> A sixth is getting rid of the gifted tracks.

Has this actually happend? My younger sister graduated from high school four years ago, she had exclusively AP classes. I'm a good chunk older than her and graduated high school in 2009, but I skipped two grades in math. Where has this happened? A quick search had a few articles calling for the removal of gifted tracks but I didn't see any indication that it actually happened.

Re: As private equity dominates wheelchair market, users wait months for repairs

#303

Earlier quoted context omitted.

some senator just held up a bag on bushings for use on fighter jets suring a speech..the cost for a sandwich bag full...$90k

Any idea if they're precision engineered out of something exotic? Maybe machined from single-crystal titanium or something. Asking because there's a bit of a different between standard consumer grade stuff, and specialist high performance things designed for a specific exotic environment.

I think his argument was that the alternative on the free market met FAA standards, which are in his words, the most audited parts in the world, and were a fraction of the cost

Re: As private equity dominates wheelchair market, users wait months for repairs

#304

Earlier quoted context omitted.

Any idea if they're precision engineered out of something exotic? Maybe machined from single-crystal titanium or something. Asking because there's a bit of a different between standard consumer grade stuff, and specialist high performance things designed for a specific exotic environment.

Also each one probably also has its own fully traceable and auditable supply chain, with a record of every step, including who signed off on it, when and where, from the moment it entered the refinery, and the records are guaranteed to be kept available for decades, along with storage and maintenance of the tooling and capacity to make more at short notice indefinitely. Plus the costs of getting the contract sorted a…

damn that putin! with his gnarled tendril hands all up in big titanium!

Re: As private equity dominates wheelchair market, users wait months for repairs

#305

Earlier quoted context omitted.

It’s similar to defence procurement. If the customer is government with endless budget, inflate costs, and use regulatory capture to maintain the cash flow.

Regulatory capture is likely the most important component. People complain about government spending, but those close to progressive issues can tell you that it's just as likely, if not more likely, to be remarkably stingy when it wants to be. The issue isn't government, it's who's using government; access to capital on top of that government influence gets you a lot closer to that bottomless wallet.

All of the responses to this post are unhinged and it truly makes me despair for this country.

Re: As private equity dominates wheelchair market, users wait months for repairs

#306

Earlier quoted context omitted.

Any idea if they're precision engineered out of something exotic? Maybe machined from single-crystal titanium or something. Asking because there's a bit of a different between standard consumer grade stuff, and specialist high performance things designed for a specific exotic environment.

I think his argument was that the alternative on the free market met FAA standards, which are in his words, the most audited parts in the world, and were a fraction of the cost

Yeah, that might have been his point.

That being said, as far as I know the FAA standards aren't really military standards.

Doing some quick searching shows this which seems relevant:

https://aviation.stackexchange.com/questions/12401/how-much-...

So just because something meets a particular level of FAA compliance doesn't really speak to whether they'd work properly on the example "fighter jet" (potentially needing much higher performance).

Sounds like the guy was trying to do a populist pulpit style smoke-and-mirrors kind of thing?

Though if you can follow up and get the details of what type of fighter jet, and what type of bushings he meant (good luck with that! ;>) maybe that guy will turn out to be the first politician in history that's not completely full of crap. :D

Re: As private equity dominates wheelchair market, users wait months for repairs

#307

Earlier quoted context omitted.

The schools' poor performance relative to private schools is a strong signal of lack of accountability. Another signal is the firing of teachers for incompetence is practically non-existent. A third signal is anytime someone from the school talks about solving issues, they always always always put it down to lack of funding, and the credulous journalists repeat that unquestioningly and the schools get their tax incre…

> The schools' poor performance relative to private schools is a strong signal of lack of accountability. How much of that can be attributed to selection bias though? Private schools are pretty pricey, meaning you generally have to come from a fairly rich family to go to one. Rich families can afford extra tutoring that a poor family might not be able to. A better statistic might be to compare public schools to chart…

> How much of that can be attributed to selection bias though?

The Seattle Public Schools have recently seen a large outflow of parents because of their wretched performance. The performance difference has to be pretty bad for parents to be willing to pony up $20,000 for private tuition.

> so that's just not true

I read the paper. Every single article about the schools has the schools saying they need more revenue, for my entire life. The Seattle Public Schools get $24,000 per student, and they're claiming they need more revenue.

> private corporations

Sure, I have. They all regularly laid off the non-performers, except for the union members.

> GED

I wasn't talking about the GED. I'm talking about the public schools.

> high stakes testing

No, there is no punishment for failing the tests. But the public schools decry those tests because it shows what a bad job the schools do. They also claim that students can master a subject while being unable to answer questions about it. I'm not buying it. Would you get on an airplane with a pilot who flunked his certification tests? Would you take his word that he really was a good pilot? Washington State just lowered the requirements for becoming a lawyer - passing the Bar exam is no longer a requirement. Would you hire such a lawyer? Not me. Next time I need a lawyer, I'll ask if he passed the Bar. I'd move on if he hadn't.

> has this actually happened?

Yes, at the Seattle Public Schools.

Re: As private equity dominates wheelchair market, users wait months for repairs

#308

Earlier quoted context omitted.

> is why some wheelchair users started a project to open-source a wheelchair from standard parts: https://themif.org/ Can you point to any project site that has released anything along this line? Blueprints, bills of material, code? There's nothing on the site you linked having any such resources. The closest thing is a block diagram including an RS-485 motor controller, which doesn't really seem like an alternative…

We have collected all the documentation from the WHIM Wheelchair development effort at https://wiki.replimat.org/wiki/Wheelchairs

Thanks! I love it, ++using the extruded steel posts commonly used for street signs

Re: As private equity dominates wheelchair market, users wait months for repairs

#309
post #287
post #250

Earlier quoted context omitted.

That's why I am in favour of more city states like Singapore, or at the very least towards pushing more responsibilities from the federal level to the state level. (The Catholics and EU call that concept 'subsidiarity', handle everything as locally as possible and have the higher levels only there to help when the lower levels can't handle it.) Eg the FDA ought be to dissolved, and replaced with state level agencies.…

> Similarly, it's good for both states to have the same or similar rules on drugs, but no need to force them I can't wait for drugs having to be certified safe in 50 different jurisdictions, instead of one, with 50 different agencies, each with a different set of politicians putting their thumbs on the scale having their own rules for them. That'll really bring down medical costs, and will not at all destroy the incr…

States can voluntarily choose to have a unified certification process, exactly to enjoy the economies of scale you are describing.

> I also can't wait for the cross-state litigation when an upstream state's equivalent of the EPA will be paid off to allow a firm to dump toxic waste into a river, that will be poisoning the people downstream.

How much is that happening between eg Canada and the US at the moment?

Re: As private equity dominates wheelchair market, users wait months for repairs

#310

Earlier quoted context omitted.

Also each one probably also has its own fully traceable and auditable supply chain, with a record of every step, including who signed off on it, when and where, from the moment it entered the refinery, and the records are guaranteed to be kept available for decades, along with storage and maintenance of the tooling and capacity to make more at short notice indefinitely. Plus the costs of getting the contract sorted a…

damn that putin! with his gnarled tendril hands all up in big titanium!

Funnily enough, although the SR-71 was largely made of Soviet titanium, Russia's not a major producer now (Ukraine is now a relatively minor one, perhaps it was from there). But they got out in front of that one post-declassification with the rather fun spin "har har, they thought we wanted it for pizza ovens and we put it in a spy plane to fly over their country, the absolute rubes".
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