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Not every med school graduate matches for a residency in the US.


If your point is that artificially limiting supply of trained medical personnel leads to reduced access, inflated prices, and worse outcomes overall, then I'd agree.


It's a factor. I just think it would be easier to make sure there are residencies for US graduates whose training is more aligned with US Healthcare than to import foreign doctors who also require training for transition.


I'm not sure which would be easier, or if that's even a useful measure. Both seem like points of leverage to [in/de]crease supply. I think we should do everything we can do educate, enable, and employ citizens to the highest degree of which they are capable or desire. I feel similarly about putting the talent of new immigrants to work as well, and I don't see inherent conflict there. Growing the pie can mean larger shares for all.


Not all resources can be grown like pie, notably land. Economics is the study of scarcity.



Not all land is equally habitable, and there's also important things like the environment. Farmland dirt wouldn't be blowing away if there was interspersed forests to slow the wind down. I'm tired of the infinite growth cultists who are willing to sacrifice every 2nd order effect so line can go up.


> I'm tired of the infinite growth cultists

You sound like one of those Malthusian cultists. :P

Fortunately for us all, Thomas Robert Malthus was wrong in 1798 or none of us would be here today. That he would continue to be wrong today should be no surprise. Relevant criticism of his rather gloomy take on population growth abounds: https://en.wikipedia.org/wiki/Malthusianism#Criticism

It seems to me like he didn't factor in the effects of the development and widespread application of new technologies to old problems.


As an individual I'm interested in maximizing quality of life, not maximum number of lives.

And no, I am not wromg. Houston has no zoning and was able to keep growth going and build lots of new houses. Of course they did so in a flood plain. Because growth cultists are willing to sacrifice everything, even lives for growth to continue just a little longer no matter the cost.


> And no, I am not wromg.

Setting your spelling aside for the moment... You haven't said anything Malthus didn't say in 1798.

I think it's fair to say standards of living have increased since.


Malthus wrote about zoning?

>standards of living have increased since

Everywhere or just in some places? There are more slaves today than in malthuses time.

People usually cite the green revolution as the refutation of malthus. I see it as an engineering tradeoff. Every 2nd order effect was sacrificed for a single KPI. An economist would call them unpriced negative externalities.


> Malthus wrote about zoning?

He absolutely wrote about land use and the planning thereof.

> There are more slaves today than in malthuses time.

By total number of individuals, maybe (though ChatGPT seems to think otherwise). By percentage of world population, not even close.

> I see it as an engineering tradeoff.

I see some of that. I see both negative feedback loops and virtuous cycles of positive feedback. Constructive and destructive interference. I also see an incredible explosion of education, information availability, flexible automated manufacturing, advanced material sciences, driving of food calories toward $0, lifting of disease which robbed humanity of unfathomable time and energy, and on and on. I see world solar panel production supplying world electric demand sometime in the 2030s. I see us getting better at regenerative agriculture. Mars has as much land area as Earth, and I think we can go farther if we put our minds to it.

There literally aren't limits. Except the ones we place on ourselves.


>There literally aren't limits. Except the ones we place on ourselves.

This is the most delusional take I've ever seen. Limitations are built into the universe as entropy. No limits is only a locality mirage that exists only because you don't live long enough to see the limit get hit.

That being said air is free because it's a mirage, the sun powers plants and animals to continuously recycle it but once that source runs out then we hit a limit. As a local phenomena we can treat air as if it's free even though it's not.

But air is like one of the few things that are like this. The next thing, water, people pay for water. And people pay for water because there is a limit on it. On top of that the fact that we pay for everything else means that even as a local phenomena there are limits. If you think humanity has been on a continuous quest of breaking barriers and jumping over limitations, that's false. All humanity has been doing is optimization. Best utilizing what we already have to delay the impending termination of when humans hit the final limit.


> That being said air is free because it's a mirage, the sun powers plants and animals to continuously recycle it but once that source runs out then we hit a limit.

> And people pay for water because there is a limit on it.

Both exist in massive quantity in the asteroid belt. Europa has larger oceans than Earth. Your personal financial limitations aside, I was talking about what the human race can accomplish as a whole when we set our minds to it.

> All humanity has been doing is optimization. Best utilizing what we already have to delay the impending termination of when humans hit the final limit.

Final limit? Never heard of it. Is that a band name? The https://en.wikipedia.org/wiki/Kardashev_scale considers a type III civilization capturing and using all of the energy emitted by an entire galaxy. And folks have proposed larger more capable civilizations yet.


As a locality phenomenon you will not live long enough to see a time where humans mine water from space. Let’s not even get to the logistics of it.

So for all intents and purposes, water is limited for you and your limited life time.


> Europa has larger oceans than Earth.

Then move to europa. I for one will stay here and enjoy the abundance of n-1.


> Then move to europa.

I'm sure humans or something descended from us will, in time.

> I for one will stay here

Looks like your limits are self-imposed after all.


Well said.




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