I also had a tough time trying to understand what the author was trying to say. My best guess is that he's hardcore into "effective altruism" (based on the rest

I also had a tough time trying to understand what the author was trying to say. My best guess is that he's hardcore into "effective altruism" (based on the rest of his website) and is trying to use this particular hammer with every nail. Most doctors I know got into the profession because they wanted to cure people. They don't care that this is not optimal from a theoretical point of view, and they most certainly didn't do it to "prove themselves". And once you start with a wrong thesis, all bets are off. If the author really wants to solve the health sector problems in Germany he should instead try to figure out why I need to book an appointments months before I get sick. Unfortunately fixing bureaucracy is not as sexy as creating Euro Harvard.