Coffee With Scott Adams — Knowledge Archive October 12, 2026
Scott Adams Philosophy Archive
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a. You know if you just start with Trump and one by one you pick off all of the qualities that are good about him and just remove them from Trump, what's left is Biden. Biden is like the frame that you build the Trump on. Biden is the boring, you know, the boring nothing. They could not be a worse matchup. And I'm not, I don't think that I'm exaggerating right now when I tell you that it seems to…

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ch time we come up with a new way to keep people healthy we always would choose a little extra expense to keep these extra people alive or healthy. Especially since these extra people could be us.

But well you know I would kind of respond with this. It seems to me that well for example I think ninety, you know somewhere I read 97 percent of the top 100 selling drugs don't cure, they only relieve symptoms. Things also that kind of concern me include a little confused about what the FDA requires to approve a drug above the placebo effect which seems to me it could be just a single digit because my readings just says it has to be statistically significant. I'm just wondering if you know I mean I understand your point about technology has improved but during that same period from the 60s to today the healthcare industry also had the huge improvement in computer technology so why do so that's right.

So working against us is a lack of price transparency and I think that the lack of price transparency all and the lack of competitive forces throughout the whole healthcare industry is what the administration is actually working on directly so that that is what they're focusing on. Yeah which I support a hundred percent by the way. I talked to another caller just keep things keep saying it's going. Thanks so much. Let's say let's bring someone else in. Let's go with, no I'm not going with that. Let's go with Jacob. And when Jacob's on here we'll see what Jacob has to say.

Hey Jacob. Jacob are you there? Good how are you? You have a question? He said something kind of poignant. He said where is that for the rural areas of our country? And especially where we live the rural areas are, there's no work, no money and they're just falling into darkness and despair. Along with that comes drugs and crime. And the strange fact is that the majority of the country's, U.S., Canada, are rural. There's only a couple cities right? And all these people just, they're running out of hope. The authority concentrates where there's a very specific problem and this you know it's all a different dynamic once you get out of the city. Oh yes very a lot there you know. I want to try to, your question please do.

Suppose it seems to me that we should be able to develop a kit such that one or two people working together without a lot of tools could build a small single story structure that they could live in. I can't imagine why we can't make you know essentially bricks that just fit together with a plan, have a few different designs and so that you can just very easily run cable, run plumbing and that. And any person could do it just watching a YouTube video for the work that you need to do that day and it says okay take these pipes that are labeled over there and put them together like you see on the video and that's all you're doing today. It seems to me that you could get people to be able to build their own homes.

Now here's the full idea. Let's take the BLM authority but this, there's some version of this that we're working with rural communities. You have all this land that is either free or close to free because it's sort of worthless. Suppose you took these properties, you've put it in government control which is easy to do because again it's free or foreclosed or close to free. And then you say for each person who fits a certain profile, they've got to apply for this, they're going to get a free piece of land to build on. And here's the fun part. They get a second free piece of land next to it to build an income property. In other words they can build a second home. Once they built their own home with their own hands the second one they can rent or sell.

So that everybody who gets two pieces of land next to each other, because again the land is almost free because nobody wanted it, they get one they can build on and one that they can turn into an income property. That would make the cost of their building much lower. It seems to me that you could come up with kits where people could build their own homes with some exceptions such as you might need a backhoe to come in and move some dirt around. So there might be some site prep and sewage and stuff like that that has to be done by you know big companies. But it seems to be that you could put up a wall. You could probably figure out a way to raise a roof with just two people and pulleys and some platforms. Certainly you could figure out plumbing that you don't have to be a trained plumber to do. You could have inspectors who are checking in at each step to make sure they build things right and you know you've done it right.

Yeah so people are telling me those Sears sold these homes before etc. but I'm pretty sure you could build a model where you would take, you basically use the pioneering instinct. You would get people who can build their own homes and then they would have a reason to want that home in good shape because it's next to their income property they can build that next to. Yeah and it's not just a place to live in the rural areas. You're right that there is an economic element absolutely because they just don't have the jobs or the opportunity etcetera. So I like that idea of having one element which is your home to live in, the other which is your income element. Yeah we're doing manicures or hair or something else you know while you're building it maybe use that as your place of business or so.

I think there are models in which people can sort of work their way into better situations but they have not been developed. A lot of people are saying you see Sears trying to get homes which they did. It's been tried in other countries and didn't work. Everything that I've seen was a very bad try. And I always warn people don't compare to the bad try to what a good try could look like right. The airplane didn't work until the airplane worked and everything before the Wright brothers was a disaster. Then it just got better after that. So I would say that the idea of a kit home was poorly done in the past but does not predict what you could do in the future if you had a better block design. I don't think we've designed them right yet.

All right thank you for the question. Take care. We'll move on to one more. Let's do one more question. Spring. Oh really there's not a single woman who wants to answer the question. I was trying to mix it up but I'm going to go with Tom I think. No not Tom. Let's see who we've got here. Tom how are you on the healthcare stuff especially. So I own a small healthcare company myself and we work with almost all entirely private insurers. I also went to business school. I did a double degree thing out of UCLA and the National University of Singapore. I spent a lot of time living overseas. And I would ask if you or maybe some of the other viewers here have a lot of knowledge about Singapore's healthcare system.

Actually Michael Malice talks about this in his new book where it's a very much a public-private partnership. Singapore has aspects that are very socialist in some ways and obviously some ways even totalitarian but it's also hyper capitalist in many ways as well. So I'm kind of curious if you've looked into that or maybe some of the other guests here.

Yeah if what you're saying is some kind of government, probably a government safety net but they make sure there's a lot of competitive elements within the market. That's what you're saying essentially. This is that the big picture. Not only that yes but also prices for procedures and drugs are clearly posted. I've used the healthcare system there as a foreigner as a student where for an emergent, for an urgent situation that I had and what would have cost probably several thousand dollars cost me about 1970 Singapore dollars. So these are minor things and but also for the big ones too. And they've exceptionally low taxes but also the standard of living is very very high and cost of living is very high as well. So that's something to think about but Singapore's it's my second favorite country in the world. I think you guys should take a look at it.

Can we take you off now but thank you for that. I like the idea. And follow me Scott.

Okay so we always talked about the current healthcare system versus a single-payer and it seems to me the obvious, the most obvious productive place to be it would be neither of those places. You wouldn't want a single payer for all the obvious reasons. Our current system is not getting everyon

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e covered so that doesn't work for all the obvious reasons. There's probably something where the, I'm just going to get rid of all the people who say that mic doesn't work. There's probably something that makes the government just the biggest customer and there's still plenty of competition. So I think that's where it's going to end up. All right that's all for now. I will talk to you later.

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