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Answers to the questions I get most often at meetup Q&As

https://astralcodexten.substack.com/p/from-the-mailbag

DEAR SCOTT: When are you going to publish Unsong? \u2014 Erik from Uruk

Dear Erik,

Aaargh. I have an offer from a publisher to publish it if I run it by their editor who will ask me to edit lots of things, and I\u2019ve been so stressed about this that I\u2019ve spent a year putting it off. I could self-publish, but that also sounds like work and what if this is the only book I ever write and I lose the opportunity to say I have a real published book because I was too lazy?

The only answer I can give you is that you\u2019re not missing anything and this is nobody\u2019s fault but my own. Maybe at some point I will make up my mind and something will happen here, sorry.

DEAR SCOTT: How is your Lorien Psychiatry business going? \u2014 Letitia from Lutetia

Dear Letitia,

As far as I can tell, patients are getting the treatments they need and are generally happy with the service. In terms of financials, it\u2019s going okay, but I\u2019m not scaling it enough to be sure.

I originally calculated that if I charged patients $35/month and worked forty hours a week, I could make a normal psychiatrist\u2019s salary of about $200K.

I must have underestimated something, because I was only making about two-thirds what I expected, so I increased the price to $50/month. But also, it turns out I don\u2019t want to work forty hours a week on psychiatry! Psychiatry pays much less per hour than blogging and is much more stressful! So in the end, I found that I was only doing psychiatry work ten hours a week, and spending the rest of the time doing blogging or blogging-related activities.

Seeing patients about ten hours a week, three patients per hour, at $50/patient/month, multiplies out to $75,000/year. I\u2019m actually making more like $40,000/year. Why? Partly because the 10 hours of work includes some unpaid documentation, arguing with insurance companies, and answering patient emails. Partly because patients keep missing appointments and I don\u2019t have the heart to charge them no-show fees. And partly because some people pay less than $50/month, either because I gave them a discount for financial need, or because they signed up at the original $35/month rate and I grandfathered them in.

At my current workload, if I worked 40 hours a week at Lorien I could make $160,000. But if I worked 40 hours/week and was stricter about making patients pay me, I could probably get that up to $200,000.

But also, if I quadrupled my patient load, that would mean a lot more documention, arguing with insurance companies, emergencies, and stress. So I can\u2019t say for sure that I could actually handle that. Plus forcing patients to pay me is some extra work and could make some patients leave or make the model harder somehow. So I can\u2019t say for sure that I could do that either.