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I agree. A lot of these technologies will lead to improved outcomes at lower costs (for certain sets of basic problems).

Guild professions (like doctors) are inclined to keep doing even the basic simple-minded aspects of their job because they get paid "economic rents" for doing so thanks to the regulations that insist even basic tasks must be done by someone with 10+ years of education.

Insurance companies on the other hand ultimately have to respond to employer demands for lower premiums (unfortunately this process is slow and HR departments are usually horrible at keeping costs under control). Insurers and to an extent employers are going to be the impetus for a lot of improvements in effectiveness and affordability.

Read Clayton Christensen "The Innovators Prescription" for more on how this might play out.




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