Live data from Hacker News

Care Doesn't Scale

stevenscrawls.com

51–60 of 382 posts

Re: Care Doesn't Scale

#51

Strange definition of "one to one". It sounds more like 4-to-1 to me.

There are 4 workers taking turns looking after 4 kids. So while at any given time 1 worker is looking after 4 kids, you need 4 workers to cover all the shifts. Thus one-to-one

Re: Care Doesn't Scale

#52

Earlier quoted context omitted.

well, except for the fact that, as the article states, it doesn't scale. Or rather, it scales poorly: the quality of care provided by a nation state is going to differ in degree and quality compared to the 1:1 care that humans probably need (and certainly traumatised humans). I'm not sure this comes as a surprise to anyone except for those who have had no interaction with state-provided social services. I'd also say…

I don't think there is any contradiction here. Government care can work, but it simply cannot benefit from economies of scale. Gonna need to double the income tax to pay for elders that have been abandoned by their children.

You mean the elders who failed to take care of themselves, assuming someone else would do it for them.

Re: Care Doesn't Scale

#54
> 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 aspects of being "cared for" by society, they aren't all care in the individual sense you describe. The food system is different from homecooked meals; the housing economy is different from the handsome breakfast nook your family DIYed into their home. We can build systems which scale and make it possible and economical for individual care to happen.

Re: Care Doesn't Scale

#56
post #13

This is why avoiding the need for care, while never totally achievable, is always the most scalable solution.

Yes, also simultaneously why (some) smaller companies can offer exceptional service unmatched by larger competitors. I am reminded of the PG startup advice to “do things that don’t scale”, this seems to be one of those cases.

This could be at the core of "do things that don't scale".

Re: Care Doesn't Scale

#57

I think this post on the same blog is much more interesting: ‘Small Village’ of Supposedly-Deceased Intellectuals Found Alive, Thriving at Caribbean Resort https://stevenscrawls.com/bucket-bump/

Interesting maybe, but also one that lacks sources. It is entirely possible that this passed by me and I just didn't catch the thing mentioned in the blog post. But, I also can't find much in the way of any reference to it online. Not even a hint using various search terms and combinations as mentioned in the blog post.

It very much gives the impression of it being a story made up as a vehicle for the main point they are trying to make.

Re: Care Doesn't Scale

#58

I think in the future, descendants of today's LLM models and some future version of Tesla's Optimus could create a paradigm shift in how care is given. I'm hopeful that when I get old, and inevitably come to need some help with living, that such a solution will be available.

I would like the option to die painlessly before I end up needing a robot to change my diaper.

> I would like the option to die painlessly before I end up needing a robot to change my diaper.

My dad has Parkinson's and needs a human to change his diaper. If he had the option of a robot, I bet he'd take it. Not a painless die now option, though. As I write, where he is it's 8 o'clock in the morning and he's watching an old Larry David and eating an ice cream cone while my mom gets ready for them to go to breakfast.

Re: Care Doesn't Scale

#59
Not only does care not scale, but the fact that other fields do scale is one of the sources of "cost disease" [0]. If software engineering is thousands of times more scalable than teaching, caring for children, injured or elderly people then all of those other jobs will need to pay more to prevent everyone quitting to become a software developer.

[0] https://en.wikipedia.org/wiki/Baumol_effect

Re: Care Doesn't Scale

#60

This is ultimately a dichotomy between having the family unit or "the state" as the central point of governance. Many totalitarian regimes looked at newborns as "belonging to the state". The result is a unified mass person who dresses, thinks and acts in predictable ways. The more power, personal connection and influence parents have over their children, the more diverse society will become.

A false dichotomy some would call that. Children can be raised in units different from the current western perception of "the" family unit.

Besides, what countries are you talking about? Have you ever been there and met the uniform mass persons?

Post reply on HN