HN Academy

Let me recommend you an udacity course instead. This is hands down the best course I've ever taken in my life:

AI for Trading https://www.udacity.com/course/ai-for-trading--nd880

Includes an introduction to finance/markets, and goes into strategies, multi-factor models, and deep learning. Great projects too!

⬐ tasubotadas

I've taken it but I wouldn't recommend it - it was pretty shallow. That guy used to have a more complete version of the course on Coursera. I believe that it became a specialization.

⬐ nightski

That was my fear. Looks like an OK course but I'd expect some pretty outstanding quality for $400 a month! That's crazy pricing (more than an ivy league credit hour am I right?).

⬐ vba

I haven’t taken it, but what made it so great. Do you/can you apply what you’ve learnt?

⬐ smabie

Yeah, totally. If you're talking professionally, it helped me make the transition from a pure dev role at a financial firm to a quantitative front-end role. If you're talking about personal projects, it helps a lot if you want to develop your own quantitative trading strategies. I've been using https://www.quantopian.com/ to develop strategies and am currently trying to get on the board for their contest https://www.quantopian.com/contest. I'm hoping to try and get an allocation from them. They currently manage somewhere around a couple hundred millions dollars and allocate money to various algorithms that win the context, allowing you to net a percentage of profits of the strategy.

⬐ mettamage

Wait, how did you make both notes in org and HTML? Can you write org mode notes and compile them to HTML? Is that it?

Or did you really write it twice?

(I've never used Emacs)

⬐ fredoliveira

Org makes it very easy to export to multiple formats (including HTML). Definitely worth exploring, and definitely worth using emacs for :-)

⬐ chrisatumd

It looked interesting - is it really $400 a month for access to the course, or is there some other way to just take the course without some kind of certificate?

⬐ smabie

I'm not sure, but I took really good notes (along with good pictures from the videos). I have them in org and html: https://github.com/smabie/udacity-AI-trading-notes

A nice course to get started in quant finance is Udacity's AI for Trading[1]. It covers factor models, with a specific focus on equities.

[1]https://www.udacity.com/course/ai-for-trading--nd880

Finally a respected economist who calls a spade a spade. There is no such thing as "shortage" of anything. Just pay more, and you'll get it.

Now, here's some alternatives for companies that can't/don't want to pay more:

- offsource (but they know this already)

- automate (everyone is in a continuous process of automating what can be automated)

- hire temp workers (most likely they've been doing this for years)

- hire illegals (well, that's illegal)

- lobby for more immigration (probably what Kashkari was answering to)

But here's some novel alternatives:

- train people more. You hire them at lower qualifications, and educate them in house

- open source your tools, so people can train themselves for free, before applying for your job openings. Tensorflow, PyTorch anyone?

- offer training for interested outsiders. See the Udacity WorldQuant course in AI for trading [1].

- invest in STEM education to increase the general pool of qualified hires. I know of the Google initiative [2]

[1] https://www.udacity.com/course/ai-for-trading--nd880

[2] https://edu.google.com

⬐ randomdata

> There is no such thing as "shortage" of anything. Just pay more, and you'll get it.

There is. We didn't create the word to have no meaning. However, it is not defined the way many people seem to think it is or the way you are suggesting. The formal definition of shortage is a situation where an external mechanism prevents price from rising. External mechanisms can include government intervention, which is not completely unheard of. Medical doctors, for example, have a government-mandated price ceiling in the jurisdiction in which I reside. You legally cannot pay more to take the services of a doctor away from someone else. However, such circumstances are indeed rare, especially when it comes to the price of labour-based activities.

To put it another way: A shortage is a situation where you cannot pay more, even if you had all the money in the world to spend on what you seek.

⬐ ams6110

That's an economic definition. A more common understanding of shortage includes conditions where the price rises beyond what I can afford. If I can't afford beef at $10/lb but the supply of beef commands that price, I will perceive that as a "shortage"

⬐ imglorp

> beyond what I can afford

No, it's not usually "CAN afford", it's more like "beyond what I WANT to pay".

Eg Apple has $245 billion in cash. Instead of offshoring the production AND the cash and then gaming the H-1B supply [1], they could be exploring education, infrastructure, and training, per credit_guy's observation above. We also need to discourage offshore tax havens.

1. https://www.networkworld.com/article/3196711/careers/us-law-...

⬐ tensor

This seems off. Isn't a shortage simply where demand exceeds supply? In that scenario there will always be some companies lacking no matter how much they pay. Salaries can rise indefinitely and it will still be true that the bottom portion won't have supply.

Now, I don't think we are in that situation, but it absolutely can occur. Usually in artificially constructed scenarios these days, e.g. taxi medallions, but in the past you certainly could be limited by the number of people in your village as well.

⬐ randomdata

> Isn't a shortage simply where demand exceeds supply?

I suppose you could put it that way, but it is important to remember that as price rises, demand wanes. As long as price is able to rise, then the demand will keep offering higher and higher prices until the supply presents itself. In the meantime, as offers go higher and higher many will drop out of the market. A shortage occurs when that price is unable to rise, leaving a situation where nobody exits the market. This is the only time that demand exceeds supply.

> In that scenario there will always be some companies lacking no matter how much they pay.

Everyone has a limit. I know of a lot of businesses who cannot afford to pay more than $10,000 per year for a developer. Needless to say they are developer-less. This does not mean that the supply of developers is lacking, it simply means those businesses were never in the market for a developer in the first place.

I don't have the money to pay the hundreds of thousands of dollars for a new Ferrari. That doesn't mean the supply of Ferraris is lacking – they are more than abundant for those who are truly in the market for one – it simply means I don't have enough money, and thus I'm not really in the market for one. We, for obvious reasons, don't count people who simply have dreams of buying something. Every 10 year old kid dreaming about owning a Ferrari is meaningless just every business dreaming about hiring an employee is equally meaningless. Demand is far more nuanced.

> but in the past you certainly could be limited by the number of people in your village as well.

If we take it to the logical extreme and assume there is only one person available for hire, the business which offers the best deal will hire that person, and if nobody can offer a better deal, they're just dreaming. Supply doesn't exceed demand in this scenario. The price rose to the point where all other demand vanished.

A shortage occurs when price cannot rise. Suppose our village with one worker has a law that says the worker cannot be paid more than $30,000 per year. Every business in town is quite willing to pay $30,000 for this worker, and now there's no market solution to determine where the worker should go. This is when demand is able to exceed supply, and when you have a shortage, relying on some other method, like a lottery, to determine where the worker ends up. Such scenarios aren't completely unheard of, but rare. Especially when it comes to labour as most people aren't in favour of placing limits on one's earning potential.

Medical doctors are an interesting exception as we don't feel (where I live, other parts of the world may be different) that the rich should be able to pay a doctor more money to incentivize looking at their stubbed toe while someone of lesser means is having a heart attack without a care provider. Instead, both people are obligated to pay the same amount, and the doctor will judge based on severity who gets the service and who has to wait or be left out.

⬐ None

None

⬐ eldavido

Slightly pedantic point:

A shortage is a market failure where you have willing parties who want to transact (a guy wants to sell at $10 and someone wants to buy at that price) but for whatever reason they can't.

For shortages in particular, there are more buyers than sellers (surplus is the reverse condition). The price might normally rise but it can't.

The failure to transact is the first-order condition. That prices can't rise are sometimes a cause or effect, depending on the situation. But the main thing is that you have people who want to transact who can't.

Shortages often happen due to price controls. Say I want to sell my house. I won't take $100K for it but I will take $200K. You are fine paying $200K. A rule is made that no houses can be sold for more than $150K. We both are fine with $200K but I can't sell my house because I won't accept $150K for it. So we don't transact. The sale doesn't happen, even though we both want it to.

In the long run, producers don't bother producing because their upside is capped. That usually makes things worse: not only can the price not rise, but the market becomes systematically undersupplied. But that's a follow-on effect, not the "shortage" per se.

You are completely correct that this (a shortage) is a highly technical condition that doesn't correspond to the common use of this term, something like "it costs more than I want to pay".

⬐ AtlasBarfed

It's almost like the profession of economics is beholden to a class of rich industrialists that will restrict their careers, exposure, and success if one were to dare repeat obvious, basic facts about increasing pay of workers.

⬐ clarkmoody

A large proportion of US economists are employed by the Fed and government agencies. Many others in academia do government-sponsored research. Not surprisingly, they won't advance in their careers if they advocate for fewer government interventions in the market.

⬐ snackbugs

To take this critique to an even lower order of problems, economics as a field is strictly centered on capitalism and the base assumption that markets are the only efficient distribution of resources. By this nature professionals researching economics will be captured by corporate interests at every level.

⬐ CryptoPunk

Economics makes no axiomatic assumptions favoring market-based economies. The conclusion that free markets work better is empirically supported.

It also counter the interests of powerful special interest groups, which has placed economists outside of the political consensus on numerous issues.

We're not living in some free market paradise. Our economy is highly controlled from the top down, with major government interventions limiting contracting and private property rights. Just to give one especially stark example, if you offer stock in your small business to the public, without going through an arduous registration process and getting approval from the securities regulator, you will be fined and potentially imprisoned.

⬐ snackbugs

>The conclusion that free markets work better is empirically supported

Better for whom?

⬐ CryptoPunk

For everyone. Efficient markets raise per capita productivity, which raises quality of life for the vast majority of the population.

The most problematic parts of the economy, like housing, are that way due to govermment intervention. In the case of housing, zoning restrictions create artificial scarcity in the most productive economic regions, leading to rising rent, which limits economic opportunity and contributes to greater income inequality.

⬐ snackbugs

>For everyone. Efficient markets raise per capita productivity, which raises quality of life for the vast majority of the population.

The majority of the US can't financially bear an emergency $1000 expense without going into debt, joblessness, or homelessness.

Productivity isn't connected positively individual quality of life, otherwise this wouldn't be the case.

A free market depends on an entire class of people maintained in poverty. That is not efficient except for a minor plurality.

As I said in your parent comment, the base assumptions that markets efficiently distribute resources is a lie.

⬐ CryptoPunk

Well the US has a generous social safety net, which discourages private savings. Healthcare is also vastly over-priced due to govermment intervention.

The number of hospital administrators increased 3,200% between 1975 and 2010, compared to a 150% increase in physicians, and this increasing inefficiency is due to an increasing number of regulations:

https://www.athenahealth.com/insight/expert-forum-rise-and-r...

>>Productivity isn't connected positively individual quality of life, otherwise this wouldn't be the case.

Quality of life is vastly better in high-productivity countries than low-productivity ones. Only someone who has been totally sheltered from the extreme poverty characteristic of many countries of the world could even make a comment as detached from reality as yours.

>>A free market depends on an entire class of people maintained in poverty. That is not efficient except for a minor plurality.

That's demonstrably false. The global poverty rate has been decreasing at the fastest in history over the last 30 years, concurrent with the spread of marker institutions. The rate of extreme poverty has halved in the last 20 years.

⬐ snackbugs

Whatever you have to tell yourself to keep believing what you do.

⬐ CryptoPunk

I'm open to seeing what evidence you have that I'm wrong. If you think you can understand economics without challenging and re-challenging your own beliefs, and contending with and considering opposing viewpoints, you're greatly under-estimating its complexity.

⬐ j1elo

The usual response to "If you can't pay more, train them!" is that, once trained, they will leave to some competitor who can pay more.

I wonder, couldn't the training be offered as a perk, quantified in some way such that if the worker leaves before X months (or years) some % of that quantity must be given back?

For sure, some European companies offer a relocation package (e.g. they cover the costs of moving all your belongings, furniture, etc. to your destination) but if you leave before 1 or 2 years, you have to give back at least 50% of that cost.

⬐ crispyambulance

    > [...] once trained, they will leave to some competitor who can pay more.

That comes up a lot, but it's not true. That employer ALSO has the ability to hire someone that was trained elsewhere and pay a premium-- it goes both ways. Moreover, it is not the case that "once trained" the employee can easily find work elsewhere. Employers who are willing to pay a premium for skill want _experience_ and not just a training certificate (especially an in-house one of possibly dubious value). There's a lot more to do for the employee after they're trained and the best way to do it is to stay and practice the newly learned skills.

    > [...] couldn't the training be offered 
    > [...] such as if the worker leaves before
    > X months (or years) some % of that quantity
    > must be given back?

There are places that do that. It's a bit draconian and you usually hear about it Asian countries. Much more practical to just eat the cost of an occasional early quitter-- not like it's going to sink the company.

⬐ j1elo

Well, this is what one of my close friends agreed to with a tech related company in London. He had some other issues which made him come back, and yes he had to pay that money back to the company. So this is actually happening right here in Europe... at least with a sample population of 1.

⬐ crispyambulance

Oh, I am sure it happens, but these "... must pay us back for training if ..." contract clauses are a serious turn-off to candidates with choices.

⬐ Rinzler89

When all the big players on the market do the same then you only have an illusion of choice. I've seen this clause everywhere I interviewed in Europe(both Eastern and Western). I don't like it but I got used to it since nobody will hire you without it.

⬐ Rinzler89

It's not just Asia, I've seen this clasue everywhere I applied in Europe, no employer would hire you if you don't agree to reimburse the training expenses if you left before 2 years. The only way "out" was to get fired.

⬐ hiiq

It happened where I did some work - the wiley employees said 'fine, but then you also cannot retrench us in the same period.'

The policy was quietly dropped.

⬐ murph-almighty

>The usual response to "If you can't pay more, train them!" is that, once trained, they will leave to some competitor who can pay more.

Then settle with a poorly trained workforce.

A company in this situation either needs new talent or needs to train its current workforce to match the level of their desired new talent. There's no free lunch here.

I'd argue it almost costs more money to NOT train your workforce, since you're settling for a less efficient process for the same amount of money that will only get worse when attrition (naturally) happens and you refuse to hire at a market rate.

⬐ None

None

⬐ alasdair_

>I wonder, couldn't the training be offered as a perk, quantified in some way such that if the worker leaves before X months (or years) some % of that quantity must be given back?

This happens fairly often, especially when it comes to things like the company paying for an outside degree or similar.

⬐ ghaff

Claw backs are fairly common for relocation and major training like paying for degree programs. I don’t know how successful companies are in collecting.

⬐ Sohcahtoa82

> I wonder, couldn't the training be offered as a perk, quantified in some way such that if the worker leaves before X months (or years) some % of that quantity must be given back?

That's how a previous employer of mine did it.

They wanted to expand the scope of my work to include some stuff I didn't know, so they spent about $10,000 to send me to a couple training courses and made me sign a contract that said I had to pay some or all of the training/travel costs back if I left the company for any reason within 12 months. They also gave me about a 10% raise at the time as well.

I ended up leaving about 18 months later when someone else offered me nearly 50% more. I'm still friends with a few people that work at the previous company. It's been two years and they still haven't found an adequate replacement for me. Apparently, their offers have been at a salary even lower than what I started at over there, yet still include the larger scope.

⬐ robmaister

My fiance works for a major ISP in the US. She started in sales while we were living in NY, but I got a really good offer for a gamedev position in CA and we both moved across country. She transferred her position to be a dispatcher for techs, which came with a significant pay cut (no commission, similar hourly rate).

They have a well defined training/progression system where you study IT materials they provide, take a few in-person courses, and pass some tests in order to get a new title, more responsibilities, and a raise.

She's one of the fastest people to progress from 1 to 2 (~4 months), her manager is scheduling the in-person courses for 3 ahead of time.

There's an office closer to where we live that does support for business class customers, they're looking at maybe bending the rules on how long you have to wait between internal transfers since she'd probably be more valuable there and it would be closer to home.

If you take the path of hiring employees that you train, you should work with them and give them raises as they're trained to get them closer to market rate. A lot of them will want to stay. At least for long enough to recoup the cost of training them. Also consider how many of those people don't have the right qualifications on paper but could pick up the necessary skills quickly. They'd be underpaid for a while, offsetting the cost of the people who need more training or are slower to learn.

Tangentially related, my job gave me relocation for both of us. If I leave my job before a full year, I'll owe all of it back. It makes sense for relocation since that's generally money the company gives you up front (that counts as a bonus, and is taxed as such). The only way I can see this applied to training would be if the employer covered the cost of taking courses at a local college or something like that. If you have your own in-house training staff, I'd count it more as a benefit of the job than a conditional bonus.

⬐ roghummal

This is how the many trucking companies work. They'll train you for a CDL but require you drive for them for a period (a year?) or pay for the cost of training.

⬐ nradov

My employer paid for part of my graduate school tuition. They structured it as a deferred loan, and then forgave the principal after I stayed for two years.

⬐ grigjd3

I don't think this matters in big software nearly as much as in other fields. Every new hire needs to be trained up - even the most experienced are going to require at least a few months before they are useful to the company.

⬐ protomyth

I know at least one community college that will pay for your advanced degree but require a two year contract. If you break it you have to pay them the cost of your education.

⬐ hinkley

If the instructor and the institution gain nothing from the process, then you are mostly right.

For myself, things always have gone better when there’s a little bit of turnover. The training gets better. The obtuse decisions get removed. The sharp corners sanded down.

With no turnover, people tend to memorize the system and eventually nothing material ever changes. I find it soul sucking and so I give a slightly negative score to highly stable teams now, whereas I used to count it as a pro (wow people like working here!).

⬐ luma

In a prior life as a technical trainer we used to offer the following wisdom: either train your employees and accept the risk that they may leave, or don't train your employees and accept the risk that they may stay.

⬐ watwut

Don't train and people will have to leave, because they would stagnate otherwise. Train and they will want to stay, because it is huge perk.

⬐ bigmanwalter

True wisdom right here!

⬐ humanrebar

It tech, fantastic employees leave for reasons synonymous with "unsatisfactory training":

- boredom

- lack of challenge

- no opportunity for growth

- repetitive work

- bad technology

And, yes, engineers not concerned about those situations are not innovative and probably not the people you want to hire.

The fact is that "good training" is expected as part of a tech career and therefore is important to tech workers. To the point that they will job hop every three years to make sure it happens.

⬐ mattmanser

I don't see how they're synonymous, that's explained better by the idea that they don't want to do the actual work.

If you're working on your internal crud enterprise app, no amount of training's going to magically change what needs to be done, or the almost certain fact that it's better to stick with the existing tech it's built on.

I think may of us go freelance/job hop because ultimately we get bored of a code base and the basic challenges, the fundamental requirements of an app simply don't change much.

⬐ humanrebar

Most devs, in my experience, are team players. They'll get the grunt work done. But if you ask them to do grunt work for even five years, you're making a big ask.

You might need to pay more to price in the pay cut they'll need to switch gears or the year off they'll need to retrain themselves on related open source side projects.

That being said, there are lots of engineers who get comfortable and shy. You can fill up all your desk chairs in your office eventually. You just won't have a well trained workforce, which is bad for everyone involved.

⬐ mattmanser

This, again, reads like a bunch of people who don't want to do their actual job.

What exactly does 'retraining on related open source projects' even mean?

It either works, or it doesn't. Unless you're working in the schizo world of JavaScript, tech, in reality, doesn't change a massive amount in the space of 5 years.

⬐ jcadam

I know. My tenure at my last few jobs was 2 years, 1 year, and now I just hit my one year anniversary at my current employer and am bored out of my skull (they stuck me on legacy maintenance). So, I'll be moving on soon.

I'm 38, I really do want to settle into someplace and stop hopping around, but I'm also not willing to allow myself to stagnate and become unemployable after you decide to "green" your workforce 5-10 years down the line.

Provide me with growth opportunities, challenging problems, creative freedom, reasonable pay increases, and I'll stick around. But alas, I haven't found a company willing/able to do that yet.

⬐ llampx

That is a very good point. I daresay that the engineer who is continually seeking excitement via jobhopping is not as common as the steadfast engineer, possibly with family obligations, who just doesn't want to be laid off at 52 with no knowledge of what has happened in the development world in the last 10 years.

⬐ wonderwonder

I am almost 40, and over my career have had exactly one job that I stayed at for longer than 2 years. I stayed at that job for 5 because they provided yearly evaluations and good raises, paid educational reimbursement and actively promoted from within. All of the other jobs where you started was where you essentially stayed. If you got a raise generally it was essentially C.O.L.

If you pay people well, make them believe that there is a future for you at the company and that hard work is noticed and rewarded, people will stay longer. For the most part, companies don't and that's the reason a large number of technology workers have become mercenaries when in comes to employment. We go in, do a job and are constantly looking for the next step up. I would love to find a long term job, but at my age, it needs to be somewhere that I believe I will be valued and rewarded for sticking around.

On a side note, there have been many times a recruiter has called me, and offered an insulting wage for a position that requires 5+ years of experience. The companies offering these low wages are the ones saying we cant find anyone to hire and complaining about the youth of today's work ethic.

⬐ hpcjoe

I'm somewhat north of 40. I stayed longest at the company I started, riding it up, and unfortunately, down. I was the proverbial last one out, and yes, I did turn off the lights.

>On a side note, there have been many times a recruiter has called me, and offered an insulting wage for a position that requires 5+ years of experience. The companies offering these low wages are the ones saying we cant find anyone to hire and complaining about the youth of today's work ethic.

This. I have recruiters call me up frequently after doing a basic scan on linkedin, looking for HPC people, or other specific things I've done. They send me emails telling me how wonderful things are on the other side, and how they are seeking people with lots-o-experience (™). Then they talk compensation rates that don't match the other aspects.

Or the ones wanting me to contract to hire. Sure, but if you can't afford the salaried rate, you really can't afford the contract rate, which prices in my risk in accepting this.

⬐ alasdair_

>There is no such thing as "shortage" of anything. Just pay more, and you'll get it.

... eventually.

Some things take time. If there is a shortage of babies, you need to wait nine months to get more of them, regardless of how much you pay (!).

If there are only 1000 doses of a life-saving drug and there are 2000 patients that need it TODAY or they will die, no amount of money can make new doses quickly enough.

Labor markets mostly work the way you are describing, but sometimes (especially in cases where training can take a long time, like, say, for doctors), simply offering more money isn't enough of a solution to meet short-term needs.

⬐ jimmydddd

Agreed. I can't say that there is a shortage of Teslas because I have offered to buy one at $10k, and no one will sell me one at that price.

⬐ huhtenberg

> train people more. You hire them at lower qualifications, and educate them in house...

... they learn and then leave, because if you were able to pay them the market rate you would've not been training them in the first place (considering the context of your comment).

⬐ nathan_long

The old joke about this is:

> Two managers are talking about training their employees. The first asks, "Yeah, but what if we train them, and they just leave?" The second responds, "What if we don't train them, and they stay?"

⬐ scarejunba

The obvious thing to do is to get some other sucker to do the training and then you hire them away. You can always beat the other guy's wages because you don't spend on training.

⬐ nathan_long

Unless the other company manages to get more value out of trainees than they pay them, in which case the additional revenue lets them beat your offer.

⬐ acjacobson

Something that doesn’t really exist anymore but easily could is offering fixed contracts (so not at-will employment). This way you can pay to train and keep the employee longer while the employee gets the added security of having a job that they can’t lose. I’ve never heard of contracts like this outside sports and movies and I wonder if any more traditional companies have considered exploring it.

⬐ beojan

> I’ve never heard of contracts like this outside sports and movies

And the military

⬐ TallGuyShort

It's not that different from relocation contracts. In both cases the company is paying a large upfront cost in order to hire you and doesn't want you to turn around and work for someone else. If you leave early, you're on the hook for a portion of the bill.

⬐ richardknop

Increase their salary to market rate once they complete their training. Easy.

⬐ huhtenberg

The OP lists options for when you do NOT have funds to do exactly that.

⬐ admax88q

If you don't have the money to pay market rate for the skills you need to run your business then unfortunately your business model is untenable.

Just like you can't sell jewellery for less than the cost of the gold you had to purchase to make it.

⬐ huhtenberg

Certainly.

That's exactly why "hire people at lower qualifications, and educate them in house" is not a viable option in this case either.

⬐ flatfilefan

Not necessarily. I’d argue original employer has an inertia/experience advantage, if they don’t underpay too much.

⬐ eiaoa

>> train people more. You hire them at lower qualifications, and educate them in house..

> ... they learn and then leave, because if you were able to pay them the market rate you would've not been training them in the first place (considering the context of your comment).

As an employer, you're going to have to pay market rate for the skills you need, one way or another.

If you do that and your employees still want to quit after their training, then your organization has more dysfunctions that you need to fix.

⬐ AnIdiotOnTheNet

Maybe, but if you treated them as more than a disposable cog, as is the trend, they might not. Show them opportunities for promotion, be respectful of their time, show them they won't be fired for petty reasons, and generally treat them like a human being and let them know they have a future with you. Searching for jobs sucks, being the new guy sucks, discovering that a new company's culture isn't a good fit and having to start the process all over again sucks. Give them enough reasons not to go through that and the money won't even matter that much if they have any wisdom in them at all.

Another advantage of training them yourself is that you shape them into precisely what you need. They know your systems, your work culture, your priorities, and are continuously adding to their institutional knowledge.

⬐ tokyodude

I'm curious if it's actually possible to treat all employees as more than a disposable cog. I worked at Google and have several friends that work at Google. There's a ton of work to do that is not fun and doing it feels like disposable cog work. It's not fulfilling but it needs to be done. This is one reason lots of people leave. There's a few glamorous jobs and lots of not fun jobs. I'm sure others can come up with better examples but basically with such large code bases things take forever to implement, pass all the tests, and need maintenance forever. There's so much to do and the team so large that you personally get to concentrate on one tiny tiny part of years. Maybe another example is working on drivers for the various new ChromeOS devices. Another might be all the solutions engineers for companies using Google Cloud related stuff. I know people doing it. Their job is to take a call from the customer and then try to write code to show them how to fix their issue. Maybe there are people who want to do those things but I don't.

⬐ TallGuyShort

I sometimes do unpleasant work because it needs to be done and I support the long-term goal. My boss talks to me like a human being and makes sure I'm being well compensated in other ways. Unpleasant work != being a cog.

⬐ AnIdiotOnTheNet

It was once quite common for people to work completely unglamorous assembly line jobs for decades at the same company. Maybe the real issue is that google's hiring practice selected for prima donnas?

⬐ lotsofpulp

Maybe the smart people saw what happened to those that chose to work unglamorous assembly line jobs for decades and realized it's not to their benefit.

⬐ AngryData

Probably because they want actual raises over time instead of the promises of increasing pension pay, which as have many found out is just a lie. Even big companies like GM, promised good pensions years ago, hit a double and got rapid inflation to make the pension payments a fraction of what they were expected to cost, then decided it wasn't enough and went for a triple by successfully lowering pensions for people that have already long retired, bought out other's pension plans for similar pennies on the dollar caused by the fear of lowering pension payouts, and then gave bonuses to all of upper management afterwards because they did so good at destroying other people's retirement and possibly life.

⬐ nathan_long

This. If https://insights.stackoverflow.com/survey/2018/#work-how-do-... is to be believed, compensation and benefits are the most important thing to most programmers. But it's not the only thing, and my guess is that beyond some "good enough" level, other factors become more important.

Imagine you were hired at a company, trained and mentored in a whole new skill set, given work you enjoy and find meaningful, working with people who encourage your further development, and were shown appreciation for your efforts and abilities.

Would you leave at the first opportunity to get a raise? Unless I really needed the money or was severely underpaid, I probably wouldn't.

⬐ jlg23

I would argue that programmers are still a very special group with a bias towards/a culture of short term gigs. Within my circles, those around 40 are either not programming anymore or work at "unsexy" companies with perks and benefits like "9 to 5" and paid 6 week vacation time. The cool ones still maintain a geek-comptible culture under the hood but that is not expressed in free beers and scheduled crunchtimes.

⬐ logfromblammo

Business managers should try playing Tropico games sometime. Penultimo mentions in a tutorial popup, the first time a critical building--such as a teamster's office--lacks workers, that perhaps you should increase the wage for this type of worker, Presidente (or increase immigration, or pay to import a foreign specialist).

He never suggests that the job should be offshored, because that would be bad for Tropico's economy, and he's a Tropican loyalist.

For some reason, you can't force a Tropican citizen to cycle between multiple part-time, low-paying jobs to take advantage of fractional-employee building capacity. Perhaps they are programmed to not like that. Can't imagine why.~

⬐ mc32

Agreed. The training part is key. Train those who show interest but currently lack competency. If by company rather than national program, get rights to the worker for a year or two to offset training costs (not much diff from fed programs designed to get teachers to teach in less desirable districts).

⬐ ghobs91

Couldn't they simply charge more for their product/service to enable them to offer the higher salaries needed to attract workers?

I get the feeling that when they say they're struggling to fill jobs, what they really mean is "our current employees are overworked, and it would be nice to hire more and eek out some productivity, but no one wants the salaries we're offering so oh well".

If their struggle to hire was truly affecting their ability to produce, they would quickly offer more money, just as tech companies do to attract engineers.

⬐ nova22033

>Finally a respected economist

Also the guy who ran the bank/AIG bailout program.

⬐ mdorazio

The one that netted US taxpayers $68 billion?

⬐ schnevets

You're absolutely correct that novel alternatives are out there. I would add innovations in the hiring process to that list. In a typical interview process, candidates have to take vacation time from their current role and jump through tons of hoops to ever receive a salary offer.

I know there are startups hoping to disrupt hiring (and the LinkedIn fueled swamp that is the recruitment industry), but now is the time for companies to rethink how they vet their candidates (and I don't mean lowering standards).

⬐ rebrad

End of the day it comes down to incentives and barriers. Offering training to outsiders to increase the supply of people is great, but not easy. Most don’t complete online courses, expensive traditional training and education is expensive, complex and hard to navigate.

Educating in-house is costly and inefficient end of the day too.

Leaving it all to some of the big tech probably not the most risk free option either.

That’s why the trend of income sharing schools exists I think they make sense - low risk, low barriers and high incentive.

⬐ ip26

There is no such thing as "shortage" of anything

Is it incorrect to describe a crop failure which leads to widespread famine as a "food shortage"? Perhaps there is a more correct term?

⬐ weliketocode

I think timing is quite important here.

Companies are understandably reluctant to quickly increase wages when the supply/demand forces for labor shift out of their favor.

⬐ hinkley

- apologize and improve your office culture so you stop scaring people off.

⬐ bryanrasmussen

there is in general not shortages of anything, but you can of course envision situations in which shortages would be real.

⬐ sam0x17

also hire felons

⬐ thanosnose

> Finally a respected economist who calls a spade a spade. There is no such thing as "shortage" of anything. Just pay more, and you'll get it.

This is economics 101 - supply and demand. What everyone learns in their first course in economics. But most economists are paid to espouse a political perspective, so most choose to ignore it. Paraphrasing sinclair : When your salary depends on you not knowing something, you magically don't know something.

> - train people more. You hire them at lower qualifications, and educate them in house

When you prevent out sourcing, h1b visas, hiring illegals, etc, it forces local companies to invest in the local population. And it's not just at the company level. The reason we have a public education system, highways, public transportation is because the private sector needed literate workers and the ability to transport workers and goods. So companies put pressure on the government to provide education for the masses, build highways, public transportation, etc. Amazing what can be accomplished when private+public interests are aligned. When they aren't aligned, you get the rust belt, increasing wealth inequality and continued societal breakdown ( opioid crisis, late family creation, distrust between people and distrust of government, etc ).

⬐ digitaltrees

Companies didn't put pressure on the government. Progressive citizens did. These government programs happened despite massive corporate resistance. In fact these programs emerged right along the same time as the massive monopolies were being broken up by government and laissez-faire economics was being abandoned by the Supreme Court (before ultimately being rejected by the entire government).

You get the rust belt because there has been a massive change of the American economy from manufacturing to high end service (finance, law, management, design). People can and should move to where opportunity is, America is and always should by a dynamic country of immigrants that move to where the economic opportunity is at the moment.

⬐ TomMckenny

Progressive citizens might favor accepting refugees etc. But they certainly did no call for abusively expanding H1B to suppress wages.

⬐ digitaltrees

H1B doesn't suppress wages. There is no evidence of that. In fact, the global brain drain to the US has given us a clear competitive advantage and allowed us to create new industries and massive companies. Immigration is a good thing economically and technologically. Refugees will contribute to the long term growth of the economy by being consumers and producers over their life and allow for economic growth. Look at countries that don't allow immigration, and have shrinking populations, how are their economies doing.

⬐ TomMckenny

Increased supply reduces prices doesn't it? If I notice BurgerKing and McDonald's are about the same price, I don't conclude that BurgerKing's prices have no impact on McDonald's.

⬐ digitaltrees

You’re assuming demand is tied to supply. That’s a logical error. If demand is increasing faster than supply there is still scarcity and prices will increase. Is the ratio of supply and demand and the change over time that determines price. Further there is a lot of evidence that wages are unique and resist going down and are slow to rise (because employers are aware of the stickiness of wage levels)

In the case of H1B, we are talking about Highly Skilled individuals that are scarce by global standards. Basically the supply of highly skilled employees is less than the demand, even with current levels of immigration.

A similar thought experiment: if you build more apartments in NYC, the price won’t necessarily go down because the demand is massive and increasing; it would take a lot of apartments to lower prices in NYC.

⬐ lovich

You bring in workers who are paid less than the average and can't shop their services around. Free immigration can bring growth as those people can act in the market. H1bs are effectively indentured servitude, which are better for the company, probably better for the person taking the H1b over staying in their home country, but certainly will put a downward force on wages

⬐ digitaltrees

Where is your evidence that H1B candidates are paid less? That is false based on my experience hiring. Further, H1B sponsorship costs money and commitment to the applicant and government, so hiring an H1B is actually more expensive than domestic candidates. Not only that, but in the H1B process you have to show that there isn’t an equivalent domestic candidate and you, as a company, made an effort to find such a candidate.

You are also ignoring the contributions such immigrants make to the broader economy by inventing, building, and hell, just using their salaries to buy things. We are stronger when we take the labor of or competition and put it to efficient use.

If you’re really concerned about wage increases for employees you need to focus on the imbalance of power we have as employers. I make hiring decisions every month, and I can tell you, as much as this is the best job market in a generation, and employees have the best bargaining position they’ve had in a long time, our company has way more power than any one employee.

⬐ lovich

>Not only that, but in the H1B process you have to show that there isn’t an equivalent domestic candidate and you, as a company, made an effort to find such a candidate.

And that is trivially easy to game atm as the government isn't enforcing it. We've all seen the job postings where companies are asking for X number of years of experience in a technology that has only existed for X-n years, or a combination of skills that would command high salary but they are only offering market rate or below.

>Further, H1B sponsorship costs money and commitment to the applicant and government, so hiring an H1B is actually more expensive than domestic candidates.

More expensive to the employer != increased wages. Why didn't the company just add that cost to the salary instead and hire locally? Because having captive workers is worth something to them.

The problem with H1bs isn't that they are immigrants, the problem is that they are not free to easily move around employers due to the terms of the visa, and the path to the green card that would give them freedom is also constrained. Personally I think that if a company has successfully argued that the American population can't supply someone to do the job and we need to import someone. That immigrant should be free to work at any company in the US since apparently the whole country could use them, and adding people to the country affects us all. Tieing them to one company is just indentured servitude with extra steps and let's a single company capture the value while putting a ton of the costs on to the nation

Anyway my main point was that you can be talking in a thread about supply and demand and say that increasing supply doesn't put a downward pressure on price, in this case salary. It may not be enough to move the needle if there's enough unmet demand and a price ceiling for whatever reason, but it is a downward pressure

⬐ digitaltrees

If you want the government to enforce the law fine; but that’s a different argument. If I assume that is true, should we see evidence of reduced wages for the positions that H1B candidates are hired for? Happy to change my mind in the face of such evidence but everything I have seen indicates that wages of skilled employees is increasing.

Companies don’t push the cost of H1B processing to other candidates because those candidates aren’t suitable for the job. My point is that it’s hard to argue that employers are hiring H1B immigrants to depress wages when they cost more than the equivalent domestic employee would; assuming there were such a candidate.

Your argument that more people coming to an area puts downward pressure on wages isn’t consistent with domestic migration. Americans move internally all the time. If you look at the fastest growing cities or states, their wages aren’t dropping as more people move in. In fact the increasing population drives inflation as more people bid for housing and food etc, and that inflation flows through to wages as employees demand higher salaries to cover the cost of living.

I don’t see anyone arguing that people from Ohio or Alabama shouldn’t be allowed to move to NYC because they will lower wages for New Yorkers.

We live in an economy that is based on growth; a growing population (even if through immigration) can in fact drive economic growth.

To be clear I am not saying immigration always promotes growth or is always good. There are challenges. But I thing the gut reaction that it costs locals jobs and lowers wages is nonsense when you look at the evidence, and accurately model the economy.

⬐ lovich

Increased supply puts a downward pressure on price. That is basic economics. If demand is still growing price can go up, just not as fast as it would have without the increased supply.

No one is arguing that people from Ohio or Alabama shouldn't be allowed to move to NYC because those people are still allowed to move around. The H1b visa ties workers to companies and gets rid of the free part of the free market. I don't care that immigrants come in and work if we don't have the people to do the job here. I care that companies are lying about how hard they looked or the wage they pay, and then getting indentured servants.

The companies are extracting value from society without giving back.

⬐ andrewmutz

> This is economics 101 - supply and demand. What everyone learns in their first course in economics. But most economists are paid to espouse a political perspective, so most choose to ignore it.

While I agree that employers should raise wages, I disagree that things are that simple or that economists are generally being paid to lie to people about it.

It's a question of how much the supply of the thing we are talking about will go up when people are willing to pay more for it. If you choose the example of housing in San Francisco, it is clear that it takes more than just people being willing to pay more for something in order for the supply to increase.

⬐ kbenson

If prices go up enough, more people in San Francisco will decide to sell, same as anywhere else. That itself doesn't increase the actual number of houses in San Francisco, but it does increase the number available to buy in the market, exactly as supply and demand would predict.

Barring physical constraints and local laws, that would also likely spur more building to increase actual units. That isn't likely to happen to any large degree because there are physical constraints and laws, and that's probably what you were thinking of.

⬐ jeffreyrogers

> But most economists are paid to espouse a political perspective

I don't think this is true unless you really contort what the definition of an economist is. Most economists either aren't working on issues that are particularly political at the moment or aren't in a position of influence if they are. Economists have political opinions, sure, but I don't see much evidence that this has a strong effect on their views about how the economy functions.

⬐ jayess

Isn't it incredible how many "hot button" political issues go right back to this basic economic law? Healthcare, tuition, minimum wage, housing, etc. Econ 101. Supply and demand. But so many people hate the idea of supply and demand. They try and tweak around it and legislate like it doesn't exist, and things get more and more distorted.

⬐ zjaffee

The law of supply and demand assumes purely rational actors in every situation, it also assumes commodities are comparable/identical and are largely mobile and transferable.

This doesn't apply to things like healthcare as others have mentioned, but also education (people are told their whole lives that they need to go to a good college, so people often make the poor financial choice to attend the better school), and in many cases housing (not wanting or able to leave the community they have only known, so they are willing to rent burden themselves in order to live somewhere).

Add on the fact that many of these things aren't as standard and transferable and you notice why these are the major markets that experience serious distortions in both a free market and a highly regulated one.

⬐ sorisos

I guess I am one of those. My main problem with supply and demand is that it is often threated as if it were the "natural order" and not something we created.

⬐ cutler

That should read "Positive Economics 101", ie. the status quo-legitimising ideology economics students are spoon-fed as if it was some kind of car manual. Postivism is rampant in economics departments where it obscures deeper questions such as the labour theory of value (Marx) and the role of government in creating demand (Keynes). Adam Smith's Invisible Hand is the fiddle that capitalists such as Donald Trump play while Rome burns.

⬐ newguynewguy

I'm pretty sure the labor theory of value was more central to Adam Smith's work than the Invisible Hand.

⬐ eiaoa

> That should read "Positive Economics 101", ie. the status quo-legitimising ideology economics students are spoon-fed as if it was some kind of car manual.

Do you have any links to books or articles that go into this idea in more depth? It definitely feels true, especially in how oversimplified economic theories are presented to laymen.

⬐ jayess

Sorta how 1 + 1 = 2 is oversimplified for laymen.

⬐ eiaoa

What's your point? That economics is as simple as 1 + 1 = 2? That the typical economics works for laymen present a full understanding of all competing theories that have reasonable claims to some truth, controversies, and assumptions that may not hold in the real world?

⬐ CabSauce

The law of supply and demand relies on efficient markets. Heathcare, to name one, really doesn't apply.

⬐ marcosdumay

Do you mean that when there's intervention on a market people stop looking into benefiting from it? What do you understand by supply and demand?

⬐ jayess

No it doesn't. And you've made my point perfectly.

⬐ microcolonel

Though to the exetent that efficient markets can be extended to these sectors, Healthcare relies on so many efficient markets in general, with the few exceptions in facilities which are a) in most places not possible to build without approval and b) hard for some subset of patients to choose between effectively.

⬐ mcv

Health care can never be a free market because decisions to buy are always made under duress. Pay for health care or die. That nobody is actively holding a gun to your head doesn't matter a great deal.

Labour can be similar, depending on how the economy is organised. If you need a job in order to eat, then you can't freely reject a job offer. Only for fairly wealthy people is the labour a free market. Unless you get a good social security system (welfare, UBI, etc). Then people may be able to walk away from a bad job offer.

Low unemployment is also making the labour market behave more like a free market; there are other jobs available, and employers can't rely anymore on job seekers being desperate for a job.

⬐ bunderbunder

There is a huge additional set of decisions that are not made under duress, but are made in an information vacuum. Two recent examples from my own health history:

My optometrist wants me to try a new kind of contact lens. She cannot (or will not) tell me what they will cost. She can't tell me what they would cost me personally because she just doesn't know - all they can do is send a bill to my insurance company and find out how much they pass on to me. Which is essentially asking me to write a blank check. Nor can she tell me the sticker price on these contacts so that I can at least know the upper bound, because she simply does not have (easy?) access to that information - the billing department does. Probably I'll stick with the same brand I've been using for years, because at least there I can safely assume they'll cost about the same now as they did last year.

Similar story for my doctor offering me a flu shot while I was getting a checkup. She couldn't tell me the price, she didn't know the price, she couldn't get access to the price, etc. I usually go to the pharmacy, where they bill $30 and insurance covers it all. So I figured, "How bad can it be? And it'll save me some time," and let her give me the flu shot. Big mistake - the doctor's office billed $300, insurance (quite reasonably, TBH) only agreed to cover a portion of it, and I got stuck with a $200 bill.

There's two problems there. One is the lack of price transparency. The other, though, is the prevailing attitude - in both cases, the doctor's opinion, which I think is most everyone else's opinion, too, was, "Who cares what it costs? If the insurance covers it, it's basically free to you." Which just ain't true, especially for routine care stuff like this. The insurance company isn't getting their funds from some magical fountain of money. From a "see the forest not the trees" perspective, they will have to pass every cent of these costs (and more) on to me.

Both of these problems are solvable.

⬐ munk-a

The flu shot cost is really terrible, up here in Canada my doctor asked if I wanted a flu shot last time I went in and there was no cost passed onto me directly. There are pharmacies that dispense flu shots for money but it's also pretty easy to qualify for a discounted shot if you need one and people not having the flu makes all of society run better.

Charging 200$ for you to be healthy and able to work the full season while also avoiding being a carrier of a disease is absolutely terrible.

⬐ mcv

Yeah, that kind of extreme lack of transparency makes a free market utterly impossible. Particularly if you ask explicitly, they should be able to tell you a price, or you should be able to tell them up front that you'll only pay the part that's covered by the insurance.

Springing costs on you that you never agreed to and aren't covered, should be illegal. you're literally being forced into a transaction you never agreed to.

⬐ kbenson

> My optometrist wants me to try a new kind of contact lens.

My optometrist wanted me to as well. When I wasn't sure, he was nice enough to offer a prescription for both, so I could make the choice later.

That obviously doesn't work in every case of unknown cost, and doesn't really change your point, but I thought it was worth pointing out as a nice tip for anyone in the same situation in the future.

⬐ Domenic_S

Re: the flu shot story — that’s called balance billing and it is illegal if the provider was in network and the procedure was covered.

https://www.healthinsurance.org/glossary/balance-billing/

⬐ Izkata

I don't know what order your experiences happened in, but one thought in the first is wrong because of the second: There is no upper bound.

It's something I've seen in other comments here in the past, too.

⬐ Sohcahtoa82

I want to know why the doctor charges $300 for a procedure that a pharmacy offers for only $30. Is there any reason for it besides just wanting to extract more money?

⬐ nradov

Appeal the flu shot claim. Most insurers cover vaccinations at zero cost to members. Your doctor may have coded the claim incorrectly.

⬐ CaliforniaKarl

At least for dentistry that is changing: I had a filling recently, due to a cavity identified at a prior checkup.

At the end of the checkup, a front-office staffer went on to Delta Dental’s web site, pulled up my record, and requested a treatment estimate. The answer was returned within a minute.

A few days later, I got a copy of the estimate in the mail for my records. I didn’t have any other dental events (which might’ve affected the estimate), so on the day of the filling, I paid the amount as part of the office visit. A few days later, I got the Explanation of Benefits for the procedure, confirming the amount paid was correct.

If I had chosen to, then I would’ve gotten all that over the web instead of on paper.

As far as I’m concerned, the dentist’s office is where I want them to be, in terms of billing processes. My eye doctor is able to do something similar, looking up lens & frame benefits etc. on computer, no I don’t have to be billed after the fact.

⬐ tynpeddler

Your definition of "duress" is so extreme as to be absurd. Just about all important decisions would be thought of as being made "under duress" which means you can justify unlimited intervention into any segment of the economy because someone will always either need the good or the job.

In the US, only about 5% of healthcare expenditures are for emergency care. That means there is huge opportunity for people to shop around. The problem in the US is that there's no actual healthcare market, so shopping is impossible. No prices are displayed so customers can't make informed decisions, most areas are operating under healthcare monopolies, and most areas enforce a perverse set of laws that make it difficult for competition to enter the market.

⬐ toolz

I think the argument here is that people are too reactionary with their health and aren't capable of planning in advance. I would say if public and private interests were in alignment here it could look something like the lobby against smoking cigarettes. People are giving up smoking in droves because of many public campaigns to educate people. If people were only reactionary they would smoke until they started getting sick, but people are capable of being educated to behave rationally in a free market, I think.

⬐ rootusrootus

I'm trying to plan in advance. My doctor wants me to get a couple tests done. It's not urgent, but the results will inform the future steps I take in managing my health. So far I have not been able to get a single provider to tell me how much it will cost. The tests are known, there is no secret, no emergencies will come up during the test, but still they can't tell me. They need to talk to my insurance company first to even have some idea, and even then no guarantees they will be able to give me a dollar figure.

⬐ coredog64

There’s a vast amount of healthcare spend that’s not made under duress. Non-US systems have embraced the free market here as a means to control cost. The common example I throw out is that France publishes a list of reasonable and customary costs for common outpatient treatments. Your insurance will reimburse you 80% of that. If you want to go to a doctor that charges 10x that, well, that’s your choice and your money. With cash up front operations, doctors don’t require a huge staff to interface with insurance. They also don’t have to build in extra cost to deal with float and/or possible non-payment.

Emergency care and care for the truly poor is handled with a different process.

⬐ sorisos

I believe there is a trend in EU to change this towards a system where private health care providers are payed based "patient health" instead - sounds like a better economic incentive if it succeeds. (should probably provide a source here, but I forgot the name for it)

⬐ Symmetry

There are time, as in emergencies, where the purchaser doesn't have the ability to shop around. But in general free markets work fine for food despite the fact that without food you'll also die. The problem is more that it's hard for the consumer to know the quality of what they're purchasing.

⬐ fwip

The consumer often doesn't know the cost, either.

It's like a restaurant that doesn't tell you the prices until after you've eaten, except it's the only way to get food.

⬐ Symmetry

In countries where the consumer pays for their treatment they generally do get the prices up front, as in a restaurant. That's also how things used to work in the rest of the world before the rise of health insurance and national health services.

⬐ kbutler

One big step toward fixing it would be to require providers to post price lists. Another would be to prevent separate prices for different insurers and uninsured clients.

Yes, there will remain distortions in the healthcare market, but at least there would be a way for people to make informed decisions.

⬐ tomjen3

By your argument there can't be a free market in food, you need that even more than you need health care.

Yet somehow in the US there is a market in food. And it is gigantic with way more options than most other places.

⬐ woah

This is a great example of someone who wants to pretend that the market doesn’t exist, like the previous poster said. You can draw this argument to its logical conclusion and argue that any good that somebody needs is “not a free market”.

The food market is obviously not free because you need to eat. The car market is not free because a lot of people need to drive to work. The plumbing market is not free because sanitation is essential.

I won’t comment on the relative effectiveness of free vs centrally planned economies, just pointing out the logical fallacy above.

⬐ mcv

I'm not pretending the market doesn't exist, I just explain some of its limitations. I admit I could have explained this better. The thing that matters is choice. Without it, there's no free market. Healthcare is not a free market for urgent issues because you can't afford to shop around. Especially if an ambulance is involved, you just get taken to the nearest hospital. Depending on where you live, you may not be able to shop around much for non-emergency issues either.

With jobs, people with ample financial reserves can afford to shop around, but people who live paycheck to paycheck can't.

With food, well, it depends on how many different places sell food. Fortunately, there's usually no shortage of shops selling food. The market for expensive food is absolutely free, because I can say no and eat something cheap instead. But the market for cheap food does indeed not behave like a normal free market, as any economist can tell you: when prices for the cheapest foods go up, people will actually buy more, because they won't be able to afford more expensive food. And if one company had a monopoly on all food and set prices for all food high, it would not be a free market anymore, though that's true for any monopoly. Still, if it were a monopoly on something non-essential, people could still say no.

A free market requires competition. When no competition is possible, there's no free market. When there's an army of unemployed people desperately hunting for jobs, companies can afford to be picky and underpay them; there's no meaningful competition to hire those people, who can't afford to say no, because the only alternative for them is to be unemployed. This can lead to a situation where even people with a job have trouble making ends meet.

⬐ nkassis

Personally I don't view the problem as being about healthcare being a market or not, I view the problem as what a free market optimizes for. Finding the price at which the market clears is very different then optimizing for cost effectively improving the health and wellness of everyone in a society. Sometimes the free market purpose matches with the broader societal goal well, other times it does not.

⬐ rootusrootus

For the last couple weeks I've been trying repeatedly to vote with my wallet. Since nobody will tell me how much any of this is going to cost, I have zero ability to do that. It is extremely frustrating.

⬐ kingaillas

You are being willfully ignorant and have a poor grasp of what a "free market" is.

Healthcare isn't a "free market" because of massive information asymmetry (detailed prices for services, consumer education needed to evaluate information), high barrier to competition, and of course the literal product being your life.

Whereas cars are much closer to a free market. Sure, you might need to drive to work, or you can take a bus or other public transportation, ride a bike, walk, move closer or to another area somewhere this is easier to do, find a job that lets you work from home, etc.

If you choose to buy a car you can gather tons of information, pick a product to fit your specific budget, and end up with something that works everywhere. You can sell the product in the future. Contrast this with healthcare where you can't generally evaluate the information, have minimal to no pricing choices (especially in certain time sensitive situations), etc.

⬐ CryptoPunk

Most products are extremely complicated. Food and its effects are extraordinarily complicated, but general knowledge about what foods to eat to stay healthy diffuses through an emergent and bottom-up process, through channels like Wikipedia and word-of-mouth.

Cars are another extremely complicated product. Society has self-organized to create reputable sources of information on the quality of different models.

We don't need government restrictions and monopolization of spending to manage the complexity of the economy. Healthcare faces severe problems because of governemnt intervention, not despite of it.

⬐ tynpeddler

Even a good you're compelled to buy can be obtained through a free market. Cars are the perfect example because contrary to your understanding, they are actually a basic requirement for a huge number of people. In addition, the vast majority of healthcare expenditures are not emergency, and aren't complicated so there's no reason why people can't obtain a diagnosis from one place and then seek out the best place to actually receive the treatment.

⬐ srean

The problem lies in executing that "seek out the best place to actually receive the treatment". Its hard when healthcare givers do not give a quote or outright misleads. Readers who are not familiar with the American way might find that hard to believe.

⬐ nradov

In the real world you can't usually separate diagnosis from treatment. The initial diagnosis may change depending on how the patient responds. And it's not always feasible to communicate the important nuances of a particular diagnosis from one doctor to another. Bungled transitions in care are one of the leading causes of harmful medical errors. Care continuity is important for patient safety.

⬐ chrisBob

How does the free market account for the cost of researching options?

I am sure I could find a better deal on many medical purchases, but the cost to find them is significant. Purchasing the default/readily-available option is often the best bet because of the hours or days required to find a better solution. Spending a few hours to save $100 or a few days to save $1000 is a clear loss to me.

⬐ sangnoir

> ...then seek out the best place to actually receive the treatment.

How do they seek out the "best place" if they don't have complete information on what it will cost? It would be like buying cars with no price-tags or MRSPs - yes, there will be good/prestigious dealerships with excellent staff who can tell you the technical details about the car that's right for you, but you won't know how much it will cost you until each component manufacturer sends you their separate itemized bills for months after taking possession of the car, and you can't take the car back (5x tires, 2x wipers, 1x engine, dealership charges, factory charges, line-assembly person 30 minutes @union rates, 1x battery, 348x bolts,1x suspension platform, transmission, etc). That is not a free market.

⬐ smokeyj

It doesn't matter what kind of market we're talking about. Supply and demand never goes away.

HN needs some kind of flair to distinguish people who understand supply and demand 101. Anyone who doesn't get it should be banned from talking about politics and economics.

⬐ matthewmacleod

You know who I’d rather stop contributing? The screeching hordes that reduce every single economic issue to “Supply and demand! Supply and demand!”

Yes, that’s a principle that’s important. It’s not the sole determinant of all economic systems. They are more complex than that.

⬐ ghobs91

Your comment actually presents an idea that many choose to ignore, that healthcare is actually two markets in one.

For routine primary care like regular checkups or an appointment for some symptom bothering you, you absolutely are not under duress. You won't die because you took 5 minutes to choose a doctor on ZocDoc. With more transparency in costs of service, this could definitely become a market, ie "for $XX per month, get unlimited visits to our partner doctors' offices".

For emergency situations, surgeries, and things that require expensive ongoing care like cancer, you're correct in that you're under duress and can't really shop around. This is the market in which the usage of insurance makes sense, as it's a rare occurrence that would be catastrophic to pay for out of pocket for the majority of people.

I think we can do a great deal to lower cost of healthcare to Americans if we think of it in this two market approach, and handle each accordingly.

⬐ eldavido

The way I've usually seen this split is "emergent" vs. "non-emergent" (as in "emergency).

You are correct that non-emergent care is a WAY bigger market than emergent. Most people completely ignore this. Chronic conditions like diabetes and Crohn's, end-of-life care (hospice, assisted living), dialysis, smoking cessation and weight loss, blood transfusions, most flavors of oncology (cancer treatment), knee replacements, etc.

We need way more cost discipline in non-emergent situations. Changing the perception that all care is emergent might be the single biggest thing we could do to lower healthcare costs. It would let people see that there should indeed be a market in everything from X-rays to MRIs and we could finally have a sensible conversation about cost.

⬐ Faark

A problem with this split is preventive care. You want to incentivize prevention, otherwise non-emergency issues can become way more costly emergencies. And just like that are both tied together, again...

⬐ mcv

That's why preventive care is almost universally covered in Netherland, despite the fact that many other things are not or partially covered. I can visit my physician any time for the smallest thing.

⬐ rootusrootus

Even getting routine care, I've had 0% success gaining any transparency at all. Maybe it works for generic GP services, but for imaging or other testing, I've tried and completely failed. "Contact our billing department and they may be able to tell you" is the best answer I get.

I'm ready to vote for forced transparency at all levels. I'm tired of this opaque negotiated pricing with insurance companies that manages to maximize my out-of-pocket costs.

⬐ Sir_Vival

Transparency and high deductibles for everyone would instantly lower costs dramatically. I have to take testosterone, and you have two primary options. One is a gel that you rub on every day that's really hard to dose correctly due to absorbency issues, and the other is a weekly injection. I wasn't even offered the second option until I asked for it. The gel was $400 a month and the injection is around $20 a month. I generally hit my deductible a month or two in to the year for various reasons and the difference in copays isn't enough for me to care, generally. Medical insurance needs to be insurance again.

⬐ gameswithgo

>There is no such thing as "shortage" of anything.

Sufficient money/effort can create and do a lot of amazing things. But probably not anything

⬐ qaq

"Just pay more, and you'll get it". Thats very general and does not always work if pool of candidates is genuinely smaller than demand. The Education part will obviously correct this long term but does not really help in the short term.

⬐ collyw

Look at the interview process these days. There are plenty of people capable of doing the jobs out, but who can be bothered to jump through all the nonsense hoops?

⬐ galfarragem

It works. Less sustainable (lucrative) companies will be out of business because they can't afford staff.

⬐ qaq

Nope they will(actually already have) open offices abroad and US Tax base will get diluted.

⬐ sam0x17

Getting that set up though costs way way more than it costs to simply hire an employee here. Large companies can do this, but small to medium sized businesses certainly cannot.

⬐ qaq

Nope it costs pretty much peanuts to setup especially if they go through local partner in Ukraine or Belarus the overhead for local company handling everything for you is 30% +/-

⬐ jswizzy

"Supply and demand" is that simple. The timescale is the part throws people off. The supply should increase even if it's just more people deciding to get degrees and experience in a field that is lucrative.

⬐ nradov

That's not true. For any occupation there are qualified people who have dropped out of that particular labor pool to pursue other options such as: teaching, stay-at-home parent, graduate school, etc. If you offer enough cash you can lure them back.

⬐ chrisseaton

You think there’s an infinite number of people who have dropped out? Otherwise it’s still limited isn’t it?

⬐ nradov

In general there are plenty of those people to fill the short-term demand while additional workers are trained to fill the long-term demand.

⬐ AnimalMuppet

"Demand" really means "demand at this price". That's why there's a demand curve - the amount of demand changes as the price changes. So, no, the pool of candidates is not "genuinely smaller than demand". The pool of candidates at this price may be genuinely smaller than the demand at this price.

What I think is happening is that companies are offering less than the market-clearing price for talent, and then complaining that they can't find talent (at that price). Well, yeah, that's usually the way it goes when you offer less-than-market prices for anything.

⬐ blfr

No, education will not obviously correct it because education's effects are not only delayed but relatively weak as many abilities are largely determined before the candidate's birth. We know IQ and conscientiousness, probably most important qualities for modern economy, are largely genetic.

⬐ ohyes

If your statement is true (Big if) the obvious thing to do would be to take better care of underserved populations so that you can take advantage of the natural talent in them (make a bigger middle class with all the trappings including education). You can’t tell me middle class white and Asian men as a population have some secret software development gene, for example. Therefore there must be some inefficiency around race, gender or socioeconomic beginnings.

But it also implies that there’s a natural scarcity to the best talent, in which case you will always run out, no matter what you do to expand the field (barring creepy eugenics or cloning programs).

In which case, paying more money makes sense. In fact a pay scale more on par with pro sports salaries would be the most likely outcome.

⬐ VLM

The google phrase for this article in general is "exogenous force".

As long as the worldwide financial markets will only fund startups in SV staffed by young Stanford grads, Stanford will never be able to produce enough grads to staff the result of a world wide financial bubble. Imagine if the housing bubble last decade would only hire house framing carpenters born in Boise ID.

Eventually the idea of doing a startup in Chicago, Berlin, Paris, Prague, will change from "impossible" to "insanely rebellious and financially reckless" to "thats a great idea" and at that point the candidate pool being too small will disappear.

There are other exogenous forces such as companies that want to hire H1Bs, for whatever reason, must in public declare a labor shortage for legal reasons regardless if one exists or not. I'm not trying to debate H1B program but to state authoritatively that it legally requires corporate statements about the labor market to a pre-defined value of 'shortage' regardless of actual market conditions. As if in a thought experiment federal regulators required CNBC to report false numbers for todays Dow Jones index and people actually debated policy based on the legally required fake numbers. Any corporate statement by any company hiring, or planning to hire H1Bs in the future, is inherently legally required to be a false, fixed statement of 'shortage'.

⬐ qaq

SV startups don't just hire Stanford grads I think people like to apply that stereotype to make them fill better if they get rejected and it is generally applied to a portion of FANG and not startups. (In reality I know a good number of people working at Google who have degrees from schools which are not even in world's top 100). Working for large company and looking at other large companies the H1B debate is being made irrelevant being tired of convincing people it's an issue they just opened up offices abroad. We for example have developers in US, Germany, Ireland, India.

⬐ stevenwoo

It appears the hardening of requirements for H!B's made a new market in OPT, where there is no limit on total number, just years of service. https://www.mercurynews.com/2018/11/13/h-1b-alternative-opt-...

⬐ VLM

We've clearly circularized the argument back to there is shortage, because clearly programmers in India as a group are not paid nearly as much as programmers in SV; there seems to be no labor shortage given that ageism is popular across the industry, women are more or less not allowed, etc.

If it would be considered shockingly newsworthy that a company hires old female programmers in India for the same pay as young white guys in SV, that in itself seems evidence there is no shortage at all.

The inability to hire given a "fish in the barrel" hiring target, might indicate a shortage of quality management, especially HR management, but clearly not a shortage of software development professionals. Suggesting companies need to pay more to get better management, given income disparities that already exist... The real story is no matter how much more management is paid, for various workplace or cultural or demographic or educational issues the management product produced even at ridiculous pay rates is shockingly deficient.

⬐ qaq

It also might indicate that outside of FANG companies have not cornered huge markets and became monopolies.

⬐ agsdfgsd

>women are more or less not allowed, etc.

Companies are tripping over each other trying to hire women. My wife is blindly offered jobs entirely because she is a woman. Not secretly or anything, they literally say "we are looking for women for our team".

>If it would be considered shockingly newsworthy that a company hires old female programmers in India for the same pay as young white guys in SV, that in itself seems evidence there is no shortage at all

No it isn't. There is no reason to believe old Indian women are as qualified as young white men. There's actually huge reasons to believe they are not. And why are you so fixated on white men? Considering the demographics of the USA, white men are under-represented in US tech jobs, Asian and Indian men are over-represented.

⬐ qaq

Why everything un PC is downvoted? People put eniugh pressure on companies that many actually do hire exactly as outlined above.

⬐ toomuchtodo

Observation: Many tech professionals are comfortable with active discrimination because it aligns with their political and social beliefs (ie "women have been underrepresented in the past, so we should weigh them more heavily in the future when considering them as candidates, or actively seek women out for roles").

⬐ scarejunba

> There is no such thing as "shortage" of anything. Just pay more, and you'll get it.

Trivially counter-exampled, right? There's a shortage of manned space launch systems at the moment. If we had a launch system today we'd use it immediately. We can pay infinity dollars and there still wouldn't be one available for use for quite some time.

⬐ galfarragem

That's a theoretical example: an auction without nothing to sell (supply = 0). When supply is > 0, the general rule applies: pay more and you will get it.

⬐ None

None

⬐ None

None

⬐ sigfubar

The person you’re replying to made a generalized statement in the context of companies struggling to fill jobs at a price point that no longer exists. He suggested that companies simply catch up with the price point, which has been moved upwards by market forces.

What you’re describing is correct but different.

⬐ thisisit

I respectfully disagree with this notion - just pay more to workers. There are many people who in this very thread talk about sustainability of businesses, especially those cannot survive without lower wage jobs. All the while ignoring the reasons behind why businesses actually do that.

Couple of years ago, I traveled to US for the first time. And the most startling thing for me was - the relative price of stuff in US. Let's take for example - McDonalds. In US, they use the cheapest ingredients and pay workers minimum wage to keep food costs low and accessible. Sure, you might say the food is shit but cheap and accessible nonetheless. In contrast, my native country (a developing one) they use same cheap ingredients and "decent pay" to employees. The end result is that 95% of the population cannot afford their burgers. McDonald's burgers are considered luxury items.

So, I think people should also think along those line. Why are companies actually not willing to pay more? It is easy for everyone to be cynical and say cheap labor benefits few millionaires/billionaires but that is not the full story.

⬐ toomuchtodo

If your business can't afford a higher wage, you don't deserve to be in business. McDonalds isn't going to go out of business paying more, it'll come out of shareholder profits.

@coredog64: I agree that Starbucks would be a better example.

⬐ thisisit

Decreasing shareholder profits is not the only outcome. The incentive will also be to increase burger prices. And I think that will have its own knock on effect.

⬐ coredog64

McDonalds is a poor example here. McD is primarily a franchise model, selling supplies and demand for what the brand sells. Higher wages would primarily impact the franchisee. The only way McD (the corporation) can increase wages is to mandate that franchises pay above minimum wage.

I believe Starbucks is a better example as they don’t use the franchise model.

⬐ drak0n1c

Unfortunately when minimum wage and mandatory benefit policies are implemented along the lines of this kind of thinking the reality is that sure, high visibility efficient and scaled businesses like McDonalds and Starbucks can afford to pay more, but family restaurants who can't either have to take on unsustainable debt gambling at becoming the next one-of-a-kind Katz's Deli or go out of business. Then people look at their city streets and wonder where all the mom & pop stores and restaurants went.

⬐ coughupalung

I remember seeing "leaders" in the Vancouver tech industry talk about a labour shortage and thought the same thing [1]. Given the cost of housing and the salaries Vancouver companies are willing to pay, it's not a mystery why there is an exodus from Van. Pay up buttercup.

[1] https://www.theglobeandmail.com/technology/bc-technology-lea...

⬐ barrow-rider

Salaries in Van are lame, but the housing costs are all out of proportion.

I was in Kitsilano a couple weeks ago and stayed in an AirBnB; liked the neighborhood and decided to check out some of the for Sale Signs. Modest 3-bedrooms were going for $1.7-$2.4MM CAD, while average Dev salary was something like 90k CAD. Even if that doubled they'd be hard pressed to pay for housing that high.

⬐ fredophile

Housing in Vancouver is disproportionately high compared to salaries but I probably wouldn't use Kitsilano as an example. Point Grey and Kits are some of the most expensive neighbourhoods in the city. You can find more reasonable, but still very high, prices in other parts of the city.

⬐ kareemm

There’s nothing reasonable about the cost of housing in Vancouver. Last I checked median price of all housing stock (including condos) was $900k+.

If you’re a two income family with kids home ownership is basically out of reach.