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Comment by jmalicki

1 day ago

The costs to hire management and "support staff" like TPMs that scale with SWEs that help them meet goals is proportional to SWEs - often that is taken for the higher end fully loaded costs, depending on how you define it. Office space in downtown SF, Mountain View, or Palo Alto costs more than office space for back office workers in Nashville or Utah. Firms that hire SWEs often have fringe benefits like free food etc. and while they may apply to all workers, it tends to go along with hiring lots of SWEs.

But yeah, double is insane. When I saw prices for COBRA from Facebook, it was $3300 a month, and that was god-tier insurance - the insurance benefits were so good they had a custom list of what was covered that was probably way better than anything available on the market (e.g. you want brand name drugs? no problem. You don't want to try both ambien and trazadone before taking a sleep medication doctors actually recommend? No problem - etc.) - but for my needs it was barely better than COBRA costing way less than half. $3300/mo, or even $1200/mo for an entry level ops worker is a lot of their salary, and probably where the double comes from. At SWE compensation most of it ceases to scale.

The fully loaded costs including proportional management costs isn't relevant to the true marginal engineer, but estimates I've gotten from higher-ups definitely factor into engineering decisions about "should we spend engineering time to save money/make more money - how much will doing this thing cost the company" (opportunity costs are also relevant, but usually less grounded, since most projects don't have concrete benefits like "we will save $x/yr in infra costs")

Wait what are the sleep medications they actually recommend?

  • DORAs. Rather than being sedatives, they directly target receptors in your brain that make you think you should sleep. I think the oldest one came out in like 2011.

    It's kind of like neuroscientists found the trigger to tell your brain "we're going to do a clean shutdown now, trigger transition to runlevel 0".

    Quiviviq, Dayvigo, Belsomra. All still on-patent, so they don't have generics and are pretty expensive (like $1000/mo if your insurance doesn't cover them). A lot of doctors won't recommend them in practice because most of their patients won't yet be able to get them covered.

    • Genuinely thank you. I’ve had sleep issues my whole life and no one has mentioned these. Not saying I will pay that, but more info is always good.

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