Excited to read this! > >> you would also lower admin costs. > Not clear that this is true or why it would happen. There is an operational tax whenever you in

Excited to read this! > >> you would also lower admin costs. > Not clear that this is true or why it would happen. There is an operational tax whenever you involve more people into the operation. You need to communicate, add paper trails, set up structure, etc. If say, you had one person collecting payments instead of a secretary, a doctor writing a paper, an insurance biller, an insurance agent, etc for the same ops, it would be a lot easier. You would have doctors perform many of these tasks. For example, give vaccinations, take vitals, etc. > Medical school debt may be high, but salaries are higher. Certifications are not likely a large obstacle to more entry, IMO. Thats the survivorship bias. Salaries cant be lower because people would go bankrupt. Certifications reduce competition, and make it harder to practice. There's even a startup that Raised a series A of multiple millions just to make this process faster (medallion). Evidence this affects the market is that most doctors are only licensed in a couple of states at most. > There are plenty of “tort reform” states that cap malpractice payouts. Medical services are not cheaper there. I'd like to see some data about this if you have it. Conceptually malpractice insurance is a fix cost that puts downward pressure on supply. IT is particularly salient for physicians that would like to work part-time. > Source needed on this claim. Might be true. I’m skeptical though. High relative to what? https://www.webmd.com/mental-health/news/20180508/doctors-suicide-rate-highest-of-any-profession https://www.webmd.com/mental-health/news/20180508/doctors-su.... This is a well known fact in the profession. >> In the book " The Social Transformation of American Medicine" they talk a lot about how hospitals rent-seeking behavior is to turn themselves as a non-profit, and then ask for federal funding and getting that denied to for-profit hospitals, effectively capping the amount of hospitals you can open. > Certificate of need laws are state, not federal. The point above is that by making it impossible for for-profit hospitals to compete due to lack of subsidies, the supply is deliberately constrained. Cheers!