> You say this as if the only way this happens is through a big top down conspiracy. In reality it's several separate actors with aligned incentives that create

> You say this as if the only way this happens is through a big top down conspiracy. In reality it's several separate actors with aligned incentives that create unnecessary headwinds to the adoption of cost saving medical advances I didn’t intend my comment as saying anything about whether this suggested phenomenon is “top-down” or “bottom-up”. I think my two counterarguments-“other countries exist” and “contrary to collective political self-interest” have about as much force in either case. > To pretend that there aren't groups who will work to delay and limit the rollout of industry shattering technology like this is naive at best. I never claimed such groups don’t exist - I’m sure there are some individuals and groups who (consciously or not) possess the agenda you describe. The real question is whether they will succeed in achieving that goal-I’m sceptical they will make any significant difference to whether or when these advances are achieved