2/ It (self-admittedly) oversimplifies to reduce categories, but I think it also underestimates the complexity of developing efficient systems. It's more than just coordination problems. (Though our systems do suck)
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3/ finally, I think a huge piece of this is the very low average human capacity for abstract analysis, let alone systemic or meta-systemic reasoning (c/f Keegan's stages).
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4/ when you need consent among a group of people who can't understand systemic analysis and comparison, and who have been burned by millennia of selfish elites, of course they won't adopt efficient systems.
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Art moves equilibria.
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It is about how messed up and perverted incentives are shaping our irrational medical system
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Sound like divergence of ethics and trust
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