Oct. 2nd, 2019

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So far, we have a trillion dollar budget deficit instead of the promised 4, 5, 6% growth. Manufacturing is effectively in recession because of the idiotic trade war.

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“...and changed his mind about committing a living man to the fire, a fellow human being who had been blessed with happiness no less than he. Moreover, he began to fear retribution, and to contemplate the fact that nothing is really secure and certain for human beings. So he gave orders that the fire should be extinguished at once and that Croesus and the Lydian youths with him on the pyre be brought down. The Persians immediately tried to carry out his orders, but they were unable to get the fire under control.”

--- Herodotus, Histories.
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Parts of the country are dying out. Services they receive are the worst of both worlds: expensive and low quality:

In the medical desert that has become rural America, nothing is more basic or more essential than access to doctors, but they are increasingly difficult to find. The federal government now designates nearly 80 percent of rural America as “medically underserved.”
...

What Van Horn offered was a three-year contract with $300,000 guaranteed for the first year, which was about 50 percent more than Cummings could have earned in a big city. He wanted to practice in a small town where he could get to know his patients. His wife liked the nearby mountains. They would be close enough to drive back to Central Texas to visit family. The federal government would forgive much of his student debt as a reward for his working in a medically underserved area. Van Horn had sealed the deal with a $5,000 signing bonus and a $3,000 monthly stipend during the final year of his residency.
...
Even during his residency in tiny Winnemucca, population 7,400, he had worked with a medical team of emergency physicians, hospitalists and general surgeons. Once he started in Van Horn, he would eventually become the only doctor on call.

https://www.news-journal.com/news/in-the-medical-desert-of-rural-america-one-doctor-for/article_cff7ecda-e2f2-11e9-a269-330f202342cd.html


Transportation costs are high, specialization doesn't make business sense, investment into services infrastructure has no chance of paying off. Model-wise, the problem is the same as phone-based customer support.

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