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The AMA et al, being run by a monopoly cartel organ, make sure that only the most psychopathic people get licenses, otherwise they'd have trouble selling their industrial poizons. Not only do they then charge way above what they would with competition, the "service" is a bit like the scene in Lynch's dune where the doctor is caring for the Baron's skin condition.
From what I hear physicians suffer equally in our broken system. It is an interesting domain: growing demand, deteriorating working conditions and deteriorating wages (across the entire pyramid) with increasing cost to end users. To me the entire field is screaming for a economic solution. Is this somehow analogous to EVs b4 Elon?