Randy Fellmy
banner
coises.com
Randy Fellmy
@coises.com
Graduate of Fenton High School and University of Illinois at Chicago Circle. Sometimes a songwriter, sometimes a computer programmer, sometimes just glad I’m not an earthworm.

See: https://www.coises.com/ for answers to all the questions no one asked.
are taking advantage of the shortfall, but the shortfall would still be there if the middlemen were not. So I think the first step is to put planning, time and money into increasing the number of medical professionals and facilities we have — and making sure we have them where they are needed.
December 25, 2025 at 3:21 AM
you need slack. Instead, we have consistently decreasing availability, longer wait times, etc. No “fairy dust” can deliver what isn’t produced. One way or another, when supply can’t meet demand, there is rationing, whether by bureaucracy or by prices rising until demand is constrained. Middlemen
December 25, 2025 at 3:21 AM
“No one on here wants to address issues.”

I would like to address that the supply of healthcare services is inadequate. For health services you want an oversupply, because health care is time sensitive; prompt is better and more cost-effective than delayed. As in, say, power generation,
December 25, 2025 at 3:21 AM
Given that @hcrichardson.bsky.social is there, I have to take this with a grain of salt. I admit I haven’t fully investigated the allegations against Substack. If they are merely that the platform refuses to suppress voices “the right people” don’t think should be heard... then who are the fascists?
Heather Cox Richardson | Substack
I'm a history professor interested in the contrast between image and reality in American politics. I believe in American democracy, despite its frequent failures.
substack.com
December 24, 2025 at 8:03 PM
UBI is an acronym for Universal Basic Income. @mcuban.bsky.social either does not know what it is, or he’s just saying something to have something to say.
Universal basic income - Wikipedia
en.wikipedia.org
December 20, 2025 at 6:07 PM
People hate insurance companies, and I don’t blame them, but they’re just taking advantage of a problem that would be there with or without them. When there isn’t enough to go around, what there is gets rationed somehow... whether by price or bureaucracy or government fiat.
December 11, 2025 at 12:45 AM
I’m not an economist, but for what it’s worth, my perception is that addressing the supply problem is a precondition for any progress. We do not have enough medical professionals to deliver reasonable and timely care to all. Any solution that doesn’t deal with that is no solution at all.
December 11, 2025 at 12:45 AM
I think of this in the artistic fields. Before too long, AI might make mediocre graphic artists, musicians and writers obsolete. At first, one thinks, “So what? Who needs them? AI won’t replace the greats.” Indeed, it won’t; but where do the greats get the experience to become great?
December 10, 2025 at 6:57 AM
We’ll still need skilled programmers... but you develop that skill by slogging through a lot of boring work that teaches you what you never learn in a classroom. AI (fair qualification: in its current form) will need something to crib from. Who will do that work? How will the experts gain expertise?
December 10, 2025 at 6:57 AM
What I wonder, though, is how potentially talented people, who will one day do creative and insightful work that will surely remain beyond the reach of software for a long time, will develop their talent if there are no entry-level jobs doing the dull stuff that teaches you how to do the big stuff.
December 10, 2025 at 6:57 AM
Understood. I have my challenges, but I’ve been more fortunate than many. My very point is that I can’t know who and how you need to be without having lived your life. I’ve tried to express my view, but I don’t think others are “wrong” just because they don’t share it.

Peace. I wish you happiness.
November 25, 2025 at 5:24 AM
that we are so anxious to bring misery to “those people”? Seems like different groups just have different notions of who “those people” are, that’s all.

I don’t see the bright line between “those people” and myself. I feel no right, nor desire, to cast the first (or any other) stone.
November 25, 2025 at 1:13 AM
Yet it will always sadden me to see us willfully cause someone grief. And I don’t care how much we disagree, who they are or if they are nothing in particular to me.

I know the right doesn’t think that way, but it saddens me that the “empathetic left” doesn’t, either. What is it about humans
November 25, 2025 at 1:13 AM
And I simply don’t believe that any of us are qualified to judge one another, or that any fundamental good is accomplished by imposing suffering on anyone.

I understand that as a practical matter we can’t survive as a society without some rules, and rules require both judgement and enforcement.
November 25, 2025 at 1:13 AM
for whom we need not have empathy.

I’m rambling, I guess. It’s hard to explain, because by a logic I just don’t follow, most people seem to believe that hurting people who have done harm to others somehow balances out the harm they did. I don’t believe it. It’s not “justice,” it’s just more hurt.
November 24, 2025 at 5:46 PM
Crucify them all! (No, not literally put to death, just destroy their lives in every way possible.) It’s cancel culture all over again, just blind anger longing to impose suffering on some as if that would undo the suffering of others. Hunger to put somebody that basket of people
November 24, 2025 at 5:46 PM
condemn them, either. They are that way for some reason, I just don’t understand it. I think it must hurt a lot inside their heads.)

But then I see the left talk about the Epstein files, folks from the political left proud of saying “I don’t care who is named in them.”
November 24, 2025 at 5:46 PM
worthy of such dismissal. The political right these days is so ready to dismiss anyone who is not one of them that I’m pretty much numb to it. They seem to believe they are “better,” in some deep, fundamental sense, than others. I don’t really know how to reach someone like that. (But I don’t
November 24, 2025 at 5:46 PM
It’s the mental construction of that group, “the people for whom we need not have empathy” that troubles me. Since I was a child, I’ve never quite been able to understand how people are so ready to consign others to that group, as if they were so sure they had never done and would never do anything
November 24, 2025 at 5:46 PM
“No one is as bad as the worst thing he ever did.”

And I think a lot of people like to focus on the worst thing they believe someone did (even when they may only have been accused of doing it) as a shortcut to consigning the person to “that group of people for whom we need not have empathy.”
November 24, 2025 at 5:46 PM
What I wanted to express was that I never understood the story as being about any particular punishment, but about judgement. Ugh, this harder to say clearly than I thought... There was a sentence in a book I read once about the two-tier criminal “justice” system in America that stuck with me:
November 24, 2025 at 5:46 PM
I apologize. I worded my reply to your comment very poorly. There is nothing wrong with defining boundaries to protect your sanity. We all need to do that.

Not doing that wouldn’t work for me, either.
November 24, 2025 at 5:46 PM