Scott Alexander recounts his frustrating attempt to conduct a study on a bipolar disorder screening test, highlighting the excessive bureaucratic hurdles that ultimately led to the study's abandonment. Longer summary

Scott Alexander describes his frustrating experience trying to conduct a study on the validity of a bipolar disorder screening test. He encounters numerous bureaucratic hurdles from the Institutional Review Board (IRB), including issues with consent forms, data security, and patient privacy. Despite his best efforts and those of his colleagues, the study is eventually abandoned due to the overwhelming regulatory burden. Scott reflects on how this experience has made him skeptical of the current research approval process, arguing that it disproportionately hinders small-scale, independent researchers while favoring large institutions. He concludes by expressing hope for reform in the scientific research process to make it more accessible and efficient. Shorter summary

Scott Alexander summarizes various responses to his post on 'cost disease', presenting diverse explanations for dramatic cost increases in healthcare, education, and infrastructure. Longer summary

Scott Alexander summarizes and responds to various commentators' explanations for the 'cost disease' phenomenon he described in a previous post, where costs for healthcare, education, and infrastructure have risen dramatically over time without corresponding improvements in quality. The post presents diverse perspectives from economists, bloggers, and readers, exploring theories ranging from administrative bloat and regulatory burden to market failures and changes in societal expectations. Shorter summary