Scott Alexander, curated
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Highlights From The Comments On Telemedicine Regulations

Quality
64
Strong
Claude Shift
44
Moderate
RWI
2
of 10

Follows up on

The Government Is Making Telemedicine Hard And Inconvenient Again — Essay · Mar 2023

Summary

Companion to the telemedicine-regulation post. Scott's sharp thread: ADHD diagnosis is largely security-theater, so pill-mills differ from good doctors mainly by 'nod-and-wink cooperating with liars' (Bureaucracy As Active Ingredient — inconvenience/shame is the active ingredient, and the DEA restored it by restricting telepsychiatry); the telemedicine-vs-in-person info question (he's ~fine with video); and the Ryan-Haight-Act legal who's-responsible analysis.

Why this score

Quality 64 · Strong. Strong (lower)/companion band: the security-theater/active-ingredient analysis is genuinely sharp, held below the 66 parent (ACX-435) per the companion ceiling.

Claude’s paradigm shift 44 · Moderate. Moderate-Notable: the bureaucracy-as-active-ingredient application is a nice reframe, largely reprising his prior post.

Real-world impact 2 · Minor. Within-discourse companion; no material effect. =2.