this post was submitted on 13 Aug 2025
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This is spot on. The issue with any system is that people don’t pay attention to the incentives.
When a surgeon earns more if he does more surgeries with no downside, most surgeons in that system will obviously push for surgeries that aren’t necessary. How to balance incentives should be the main focus on any system that we’re part of.
You can pretty much understand someone else’s behavior by looking at what they’re gaining or what problem they’re avoiding by doing what they’re doing.