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by testouts 3094 days ago
Most advanced healthcare , most surplus of food, variety and abundance of energy. Capitalism has made the most abundant and highest quality of products. Its ok if people cant afford certain things, its called costs. Surgeons are not slaves.
1 comments

I love this idea that asking people to not become filthy rich off of needed services is somehow equivalent to enslavement.
You're being far too kind. I don't mind if people become filthy rich as long as they do it legally. It's supposedly illegal to not quote people prices before providing services, or to have discriminatory pricing. Yet hospitals (you know, that place where those surgeons work) do this on a daily basis and blindly screw people over.

I say "supposedly" because I have yet to see anyone in the medical industry go to jail for violations of the Sherman, Clayton, or Robinson-Patman acts. Mechanics and contractors tried these bullshit games decades ago and it was met with actual enforcement of the law and that's why we have binding estimates for these services now. They also cannot charge you different rates based on which insurance you have. Even more so, if they fail to properly fix something and you bring it back they are required to correct the problem at no additional cost because you already paid them to fix this issue (these occasional instances are supposed to be covered by increasing the quoted estimates to account for a small portion coming back for additional work at no charge). The same is not true in hospitals. Whenever these surgeons perform an operation and there is a complication like, for example, and infection - guess who pays for it. The patient. There is precisely one place that I know of that doesn't do any of this shit in the medical field - The Surgery Center of Oklahoma. They even post a price list. Here's one page: https://surgerycenterok.com/?procedure_category=knee#jump Keep in mind that these prices are not only far less than what hospitals charge, but this includes competitive wages for their surgeons (whom I'm fairly certain aren't slaves) as well as covering the cost of complications, which also provides every incentive for them to not infect you or have complications arise.

Everyone has their motivations for their career choices and for some that motivation is being rewarded with wealth. Would we end up with a surgeon shortage if they were expected to only do it out of a sense of duty to their fellow man? Unfortunately the only way to truly know is to risk a reduction in the number of surgeons by removing wealth rewards. The obvious problem is that if the result is indeed less people motivated to be surgeons, healthcare outcomes for many will suffer.
My one off comment doesn't really do justice to how I actually feel about the issue. I'll explain. No one should feel obliged to work for less than what they're worth. This is something my wife and I talk about lot actually. I just have a strong distaste for the hyperbole used when someone does suggest that someone else work for less. Particularly, if the person being asked to give something up has so much to begin with.

To address your example about surgeons. Perhaps they wouldn't need to same amount of "wealth rewards" if somehow we made it cheaper for them to become surgeons in the first place? Could the cost of their training be addressed? Changes to how malpractice insurance works?

The supply of labor is more like an infrastructural problem for capitalism, it's already a truly known and artificially influenced thing. In fact, with less concentration more people are going to be pushed to become surgeons, not less.