It's all so great in theory, where you get to imagine an ideal world in which all our incentives align and we're all rowing on a big boat towards success.
In real world, most things don't work out that way. What metrics do you use to measure surgeons' success? If you use fatality rate, then as a result surgeons will refuse to do more risky surgeries which will put their ratings at risk, which makes the healthcare worse, instead of better.
In real world, most things don't work out that way. What metrics do you use to measure surgeons' success? If you use fatality rate, then as a result surgeons will refuse to do more risky surgeries which will put their ratings at risk, which makes the healthcare worse, instead of better.