[dkmn]

Typical to focus on the pipeline, the Economist is culturally conditioned not to question the context of the system.

A lot the distribution, efficiency, and particularly the burnout are due to corporatization and over regulation. The "medical" system is a self-licking ice cream cone of non normal demand curves being served by inefficient systems the generate reasons to intermediate money between the end players of patient and doctor.

So typical to focus on the "doctor" as the problem.

We had a much more robust distributed national system before the"smart" people made it "efficient".