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Care Doesn't Scale

stevenscrawls.com

151–160 of 382 posts

Re: Care Doesn't Scale

#151
Things that scale can have a big multiplier, so to say. The problem is, more often than anticipated, that multiplier, rather than being large, ends up being considerably less than one.

Whereas work that doesn't scale always has a multiplier of 1, so its always useful.

Re: Care Doesn't Scale

#152
post #46

> But I wonder if part of that smaller focus comes from a deep realization that care doesn’t scale. My experience (and I believe it to be common) is that I'm really, really, really out of spare energy to care about anyone or anything else. Mind you, I'm in my best shape in years and I've explored my limits to find out they're actually way further than I originally thought, but still.

There was a story on HN a while ago that I can't seem to remember the title of. It was something along the lines of "The optimal amount of slack in an organization is not zero", or something like that. The argument was that, since it's impossible to plan for every eventuality, you need a certain amount of slack capacity in order to retain some flexibility. And that by always using 100% capacity, we end up dysfunction…

I think it referred to the classic efficiency vs latency tradeoff. Like when emergency vehicles are always on standby, which is inefficient, but allows them to roll out without delay. Conversely privatised rail lines squeeze out every ounce of capacity from the infrastructure resulting in delays when something, anything goes even slightly wrong.

I use this extensively when planning activities with my children. It's a fun challenge because they're both too young to tell the time, much less read, which are constraints one does not normally encounter in their work life.

Re: Care Doesn't Scale

#153
> Adults often come to see small-scale solutions to major problems as childish. Yeah, you could make a couple of sandwiches for the hungry—but there are billions of people who need better access to food. Maybe your effort is better spent working on solutions that can scale.

Much of this essay is baffling to me.

From 2022 to 2023 the fed funds rate was jacked up. The aim of doing this was to, among other things, drive up unemployment, so that more working class people working in supermarkets and the like would become unemployed, and to increase food scarcity for their families. The rate rise affects us as well, with tech hiring somewhat dead since late 2022.

Looking abroad - the International Criminal Court charged Netanyahu, Israel fires on and invades UN bases in Lebanon, Israeli television broadcasts Israeli soldiers raping in Sde Teiman (go look on YouTube for the footage) as rabbis and Knesset MPs swarm to defend them. Gazan children starve as European countries block weapons being sent to Israel. In the US, Biden sends troops abroad and Israel weapons to further the slaughtering, which has spread to the West Bank, Yemen, Syria, Iran and Lebanon. Also, the US vetoes at the UNSC effectively help block Gazan children being fed as they starve. Kamala Harris backs Biden and vows to continue arming and funding Netanyhu doing this, and Trump is even more belligerent. So Americans elected the person enabling this and over 98% who vote will vote for a candidate doing this.

It is not a lack of care or attention to Gazan children, Americans, or 98% of those who vote are paying attention to Gazan children and are trying to starve them - or at least are willing to trade a specific tax cut or whatnot to enable their starvation.

There's nothing about lack of individual or scaled care - the vast majority of Americans work for the opposite - to continue the famine.

Going back to the point of scale - the Gazan children don't starve because Americans don't pay individual or scaled attention to Gazan children. They starve because 98% of Americans will vote for someone who works to starve them. It is what the vast majority of Americans are and what America is. And works for domains outside Gaza - like unemployment and the fed funds rate mentioned.

Re: Care Doesn't Scale

#154

If we're going to talk about how to "scale care" and how not to, then Buurtzorg has to be mentioned[0][1]. It's a Dutch home-care company that was started by nurses who basically got frustrated that managers got in the way of them doing their job. It operates by having a flat organization working with small teams of highly trained nurses, and trusting them to make the right decisions. The result is a low-cost provide…

Thanks for elaborating further what we mean by "scaling".

Couldn't it be said that when organization acquire ranks, it is to solve coordination problems that arise with scale but that in this case, there isn't much that is solved by more organization ?

Re: Care Doesn't Scale

#155

Care does scale and the human race is evidence of that. It is centralisation that doesn't scale well.

This comes across as a comment on the headline and not the article. The article had a very specific circumstance it built upon - how much human time time it takes to help kids. This doesn’t scale, in the context of the article. Your statement would translate into a point on economics and organization, than individual care. This still obscures the fact that many critical functions don’t scale. I would add that these t…

The article defines care "scarcity" rather narrowly, almost tautologically

> In any given moment, you can only really care deeply and individually for one person

Yes, but there are many moments in a day / one's life, and care is needed and appreciated at various levels of "deepness". Further, how much care (and what type) is needed depends enormously on what society has managed to scale with the right organizational patterns etc.

So in the end the question is: how much of this type of exclusive (and scarce) caring capacity does society really need? Mathematically, there are 8 billion exemplars of the species roaming the planet and 1:1 caring takes care (pun) of the 4 billion.

Re: Care Doesn't Scale

#156

If we're going to talk about how to "scale care" and how not to, then Buurtzorg has to be mentioned[0][1]. It's a Dutch home-care company that was started by nurses who basically got frustrated that managers got in the way of them doing their job. It operates by having a flat organization working with small teams of highly trained nurses, and trusting them to make the right decisions. The result is a low-cost provide…

Honestly sounds like that's Conway's law, but in reverse. Instead of a project's setup mirroring it's organization, the organization mirrors what they see as the ideal project setup. That's something that I wish more teams were willing to recognize as the best approach; Conway's law isn't necessarily something to be worked around, it's a tool.

Re: Care Doesn't Scale

#157

If we're going to talk about how to "scale care" and how not to, then Buurtzorg has to be mentioned[0][1]. It's a Dutch home-care company that was started by nurses who basically got frustrated that managers got in the way of them doing their job. It operates by having a flat organization working with small teams of highly trained nurses, and trusting them to make the right decisions. The result is a low-cost provide…

Your reply seems focused on size, but this line caught my attention:

>trusting them to make the right decisions.

I'm wondering if trust isn't the real issue. For example, wouldn't a large high-trust organization be able to provide good care? Or is there something intrinsic to scale (e.g. diffusion of responsibility) that makes "high-trust" and "large organization" incompatible?

Re: Care Doesn't Scale

#158
post #131

> There was some pain in that realization. So many of my utopian dreams—what if we could live in a society where everyone can get the food, the housing, the healthcare, the opportunities for growth that they deserve—come from a place of wishing that we could live in a world where people are cared for. I'd like to offer some comfort to the author on this score. Food, housing, healthcare broadly... while these are all…

> The food system is different from homecooked meals This is a good point, and everything I've heard from parents says that it's parents, not children, who identify home-cooked meals with care. Children notoriously prefer prepackaged industrially processed food over whole foods prepared with care and love. In order to feel cared for, all children need is to trust that the person caring for them will make sure they ge…

> Children notoriously prefer prepackaged industrially processed food over whole foods prepared with care and love.

Let me fix that for you:

Children notoriously prefer heavily marketed food in attractive packaging which is designed/optimized for addictiveness and immediate gratification.

Re: Care Doesn't Scale

#159

It is not from the benevolence of the butcher, the brewer, or the baker, that we expect our dinner, but from their regard to their own interest. We address ourselves, not to their humanity but to their self-love, and never talk to them of our own necessities but of their advantages. Nobody but a beggar chuses to depend chiefly upon the benevolence of his fellow-citizens. -- Adam Smith Care doesn't scale but self-inte…

>In this sense care and self interest are not in tension but amplify by constructive interference.

Perhaps in a well designed system, but if self-interest can be derived at a cost to the collective good, that also scales rather efficiently and without such a wholesome outcome.

Re: Care Doesn't Scale

#160
post #131

> There was some pain in that realization. So many of my utopian dreams—what if we could live in a society where everyone can get the food, the housing, the healthcare, the opportunities for growth that they deserve—come from a place of wishing that we could live in a world where people are cared for. I'd like to offer some comfort to the author on this score. Food, housing, healthcare broadly... while these are all…

> The food system is different from homecooked meals This is a good point, and everything I've heard from parents says that it's parents, not children, who identify home-cooked meals with care. Children notoriously prefer prepackaged industrially processed food over whole foods prepared with care and love. In order to feel cared for, all children need is to trust that the person caring for them will make sure they ge…

if you'll forgive my prior snark, some people successfully involve the children in the cooking. When this is done, the children seem to prefer the home-cooked because they are part of the cooking and they are part of the feeding/providing to others.

Don't underestimate the human desire to provide value to the tribe, it runs deep in the evolutionary make-up.

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