Right, I think that's a valid way of seeing it, and you pay them not to do the next highest productivity gaining job because their current job is productive, pa

Right, I think that's a valid way of seeing it, and you pay them not to do the next highest productivity gaining job because their current job is productive, particularly in price inelastic sectors like healthcare. The reason I think it's valid to call it a disease is because you want it to be higher productivity yet, and more price elastic. Increasing healthcare provider productivity would not lower their boats, it would either shift them into the next highest productivity job, or better all round, shift them into new roles within the healthcare system opened up by the increased productivity (for example, personalised healthcare).