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> Patients aren't randomly assigned to providers.

Sure, we don't have that information today. But, if we want to collect relevant information we could easily have a subset of doctors with random patient assignment. IMO, that's simply an implementation detail required if we want good information.

PS: US healthcare spending is over 3 trillion per year, rationally even minor improvements are worth large investments.



None of that is actually easy. Spend a few years working in a clinical environment and then tell us how easily it could be done.


I do work in healthcare for HHS this is very much the kind of thing we do. Change is hard, data collection is significantly easier.




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