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 r

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.