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Governor Newsom announces California will make its own insulin

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51–60 of 232 posts

Re: Governor Newsom announces California will make its own insulin

#51
post #3

Doesn’t make a lot of sense. Generic insulin’s are already being made. Why not just buy those?

Because the generics are still expensive.

Which is why Blue Shield of California, as a major health care payer (which the State of California also is), has invested in doing the same thing (with the same nonprofit that has been discussed as the most likely contractor for the California state effort.)

Re: Governor Newsom announces California will make its own insulin

#52

Sometimes I feel like this is the endgame where the US overall kind of declines but California starts managing itself better and operates almost like an independent country. Probably wishful thinking but would be great.

I can’t relate at all to that sentiment. California has got to be one of the most bloated and wasteful state governments in the entire US. High taxes and nothing to show for it. The entrenched far left seems bent on destroying the middle class, driving out business, regulating everything to death and displacing merit as a selection factor. Whatever glory Cali has— tech, entertainment, farming, weather, natural beauty…

I agree, current management is pretty bad. I can easily envision a world where it is well-run and with less grift where your California ID essentially unlocks a slew of services like healthcare and university access.

Like i said before, this is wishful thinking, but it’s not for lack of resources.

Re: Governor Newsom announces California will make its own insulin

#53
post #31

Earlier quoted context omitted.

High taxes on newcomers. Nearly nonexistent taxes on dynastic families.

California income tax has no carve outs for capital gains so I don’t know where you got that idea. Rich people specifically don’t like California because of the taxes (as compared to other No or low income tax states). I assume you are referring to property taxes, but undoubtedly any “dynastic” family is going to have more tax liability from income than from property value.

Rich people love California, and all the other blue states with high income tax:

https://www.statista.com/statistics/294941/largest-ratio-mil...

Re: Governor Newsom announces California will make its own insulin

#54

Sometimes I feel like this is the endgame where the US overall kind of declines but California starts managing itself better and operates almost like an independent country. Probably wishful thinking but would be great.

I can’t relate at all to that sentiment. California has got to be one of the most bloated and wasteful state governments in the entire US. High taxes and nothing to show for it. The entrenched far left seems bent on destroying the middle class, driving out business, regulating everything to death and displacing merit as a selection factor. Whatever glory Cali has— tech, entertainment, farming, weather, natural beauty…

I don’t think that’a entirely fair. California is the product of good governance during the 1950s-1980s. There is public infrastructure, like good schools and universities, that needs to be laid to attract industry in the first place. California probably wouldn’t the what it is without the UC system, for example. Of course that was a very different California.

Re: Governor Newsom announces California will make its own insulin

#55
post #37
post #24

How hard would it be to found an insulin startup? This seems like the kind of problem designed to be intractable, the "busy work" of bureaucratic private health care systems.

It sounds to me like the modern process is just working up GMO yeast matabolites. I feel like the main issue is probably going to be patents and not something technical.

Do state governments have to respect patents?

Edit: Answering myself here, they do not: https://www.vorys.com/publications-2574.html

Re: Governor Newsom announces California will make its own insulin

#56

Sometimes I feel like this is the endgame where the US overall kind of declines but California starts managing itself better and operates almost like an independent country. Probably wishful thinking but would be great.

Yeh that was sweet when we tried to build a high speed rail or when we spent billions to fix homelessness. We are extremely efficient and effective with the ridiculous amount of cash we lucked into.

Re: Governor Newsom announces California will make its own insulin

#59

Sometimes I feel like this is the endgame where the US overall kind of declines but California starts managing itself better and operates almost like an independent country. Probably wishful thinking but would be great.

Yeah, no California is a bit of a mess.

This action might be rational actually given lack of federal regulation on healthcare, but they could just as well handle it another way, and more comprehensively (i.e. price controls, pricing transparency - yes, it's hard).

There is no obvious path forward.

I kind of think Vermont has a lot of it sorted but that's also a cultural issue, I mean, Los Angeles and Vermont might as well be on different continents.

Re: Governor Newsom announces California will make its own insulin

#60

Sometimes I feel like this is the endgame where the US overall kind of declines but California starts managing itself better and operates almost like an independent country. Probably wishful thinking but would be great.

>California starts managing itself better and operates almost like an independent country.

i don't suppose you're familiar with what a dystopian nightmare the housing market is?

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