My nutshell better world recipe: - make it easier/cheaper for people to move/resettle, within & between countries; - make it easier/cheaper for people to gain skills/knowledge AND credibly prove it; - actively fight regulatory capture & encourage experiments across industries
The first and third can be solved by having the government stop actively making things harder, but the second, "cheaper/easier to credibility prove skills" is a legit hard problem.
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The market is already doing this look at Kaiser for years they have been slowly using NP and PA’s instead of MD. The qulaity of care has been diminished and the costs have goon down as well. Other groups have been forced to follow Kaiser’s model.
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