Here's a great example of how we've created a healthcare industry
whose primary product is visits rather than health.

And when your industry produces visits, anyone whose pay is tied to
visits is going to be incented to keep them coming.  Like doctors, for
example.  And visits costs us all.

Here's blurb from a new yorker piece:

Jeff Brenner’s Camden patients are usually uninsured or on welfare;
their doctors were happy to have someone else deal with them. The
Atlantic City casino workers and hospital staff, on the other hand,
had the best-paying insurance in town. Some doctors weren’t about to
let that business slip away.

Fernandopulle told me about a woman who had seen a cardiologist for
chest pain two decades ago, when she was in her twenties. It was the
result of a temporary, inflammatory condition, but he continued to
have her see him for an examination and an electrocardiogram every
three months, and a cardiac ultrasound every year. The results were
always normal. After the clinic doctors advised her to stop, the
cardiologist called her at home to say that her health was at risk if
she didn’t keep seeing him. She went back.

The clinic encountered similar troubles with some of the doctors who
saw its hospitalized patients. One group of hospital-based internists
was excellent, and coördinated its care plans with the clinic. But the
others refused, resulting in longer stays and higher costs (and a fee
for every visit, while the better group happened to be the only
salaried one). When Fernandopulle arranged to direct the patients to
the preferred doctors, the others retaliated, trolling the emergency
department and persuading the patients to choose them inste

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