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Our medical system is a great example of absolute calculational chaos and I think almost everyone could agree with that statement

Indeed and it drives me nuts when people on the right and left speak as if it is a free market of medicine.

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You can't have market price discovery when no one knows what the prices are

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Yeah, it's not my field but I've listened to a bunch of EconTalk episodes about the insane incentive structure in medicine.

There really doesn't seem to be much downward pressure on the fake base prices because so many parties benefit from pretending the actual prices are discounted.

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Prices are fake... no one knows the cost before doing the service... it's an absolute mess.

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drought are also too

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