i don't think that's immutable and i think there are vast cultural factors that are working to put people in that position that could be changed there's basically an asymmetry of sacrality
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Replying to @chaosprime @tegiminis and
the cultural value of the sacredness of life means that it's deeply *wrong* on a level most people can't articulate for the health care consumer to speak of price, much less quibble at it or shop around
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Replying to @chaosprime @unormal and
I think it is impossible to make a properly educated decision about your healthcare regardless of cultural values. Can you reasonably ask a man with a broken arm to decide on which doctor he wants to set it?
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Replying to @tegiminis @unormal and
it doesn't seem *that* impossible, but accepting that it's challenging there are extremely well-worn ways to in effect make the decision before your arm is broken when you can be more rational about it
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Replying to @chaosprime @unormal and
Sure, but let's say the doctor who agreed to treat you for X amount decides to charge Y amount now that you're desperate. Are you really in a position to challenge it? Or do you take the L?
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Replying to @tegiminis @unormal and
the natural defense against such an occurrence is a contract, but obviously there's an asymmetry in how much effort the doctor is incentivized to make the contract sit up and dance for him versus how much effort you can put into vetting and enforcing it
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Replying to @chaosprime @tegiminis and
yet another problem where doctors are (artificially) scarce and the ceiling on demand is infinite, so you have approximately 0 leverage as a patient.
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Replying to @unormal @tegiminis and
it's underrecognized how medical schools are the real villains of the piece like, when our socialized healthcare is crumbling under the weight of its open-ended commitments, it's going to be because doctors have $10K/month in loan payments who has that money? med schools
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Replying to @unormal @chaosprime and
The 'cartels' here are complicated and layered, but the frankly artificially high barrier we put in front of doctor and medicine certification is a huge part of the problem; wrt capitalism, if competitors can't freely enter a market, market pricing doesn't work.
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then there's the open secret that med school practices select harder for sociopathy than for competence like any gatekeeping primarily intended to protect incumbents from competition, but rather moreso
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