I figured it out.  The Healthcare problem.  It's the billable hour.

See when you buy a normal product, like a TV dinner, it's "value-add":
somebody assembled the meal components and packaged them in a such a
way that is more valuable to you than had you bought all of those
components separately.

Furthermore, Swanson can charge more for "premium" dinners with
expensive sounding names and make quite a margin while maybe selling
others for cost.  When you add it all up, they still make a profit.

In other words the products are value-add and priced **based on the
value to the customer**

Lawyers charge based on the billable hour - in other words, the cost
to produce the service.

In that case the incentives are all different: lawyers aren't incented
to be efficient and the customer generally doesn't really know what
value of the product is.  In other words, you either are out of jail
or not.  If you're out it seems pretty valuable but you have no idea
is someone could've done it for half price AND you paid the production
value, NOT based on the value to you anyway.

And THAT is the problem with healthcare pricing.

Doctors charge you based on the cost of production, not on value.
Therefore there's no transparency, no competition, and everyone thinks
the problem is financier rather than the bloated doctor's office.

After all, however many people (besides me) do you hear say that we
don't owe doctors a living?  or a profit?  or those super greedy
doctors making obscene profits?

BTW, there's scandal in my suburb or a guy who own 10 acres and runs
horses who stink in the middle of neighborhoods.  His land is worth a
few mil and he breeds horses to race at the local track.

He's a doctor.

And here's little ole me with all my greedy industry profits on my 1/3 acre.

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