memes

but that’s the bitch of this damned money world

This isn’t a result of money. It’s a result of having insufficient medical providers and them therefore being guaranteed business no matter how much they suck at customer service.

If money were the most powerful thing in medicine, new players would enter the market given its ridiculous revenue levels, and those new players would introduce competition and suddenly medical providers would be facing a world where their flow of customers is not guaranteed, and they would have to learn to respect and be grateful for their customers.

That’s how it would work if it were actually a “money world”. But medicine doesn’t run on money. It runs on government permission to exist, and that permission is always kept below demand levels, meaning once a provider gets a spot they don’t have to worry about someone else taking it.

Because money is fickle. To get money to come your way you need to provide good service consistently. If you stop, the money stops coming.

But a government license to operate is not fickle. Nobody can take that from you merely by offering better service. A government license to operate, in a market with severely limited supply, is a license to treat your customers like shit and see them crawling back for more.