“Imagine you were planning a conspiracy to limit the number of doctors in America. Certainly, you’d make sure to have a costly, lengthy credentialing system. You would also tell politicians that America has too many doctors already. That way, you could purposefully constrain the number of medical-school students. You might freeze or slash funding for residencies and medical scholarships. You’d fight proposals to allow nurses to do the work of physicians. And because none of this would stop foreign-trained doctors from slipping into the country and committing the crime of helping sick people get better, you’d throw in some rules that made it onerous for immigrant doctors, especially from neighboring countries Mexico and Canada, to do their job.”
Okay, I think you’ve caught on by this point. America has already done all of this. Starting in the late 20th century, medical groups asserted that America had an oversupply of physicians. In response, medical schools restricted class sizes. From 1980 to 2005, the U.S. added 60 million people, but the number of medical-school matriculants basically flatlined. Seventeen years later, we are still digging out from under that moratorium.
Krugman points out, "Our political discourse is dominated by reverse Robin-Hoodism — the belief that economic success depends on being nice to the rich, who won’t create jobs if they are heavily taxed, and nasty to ordinary workers, who won’t accept jobs unless they have no alternative."
从这个角度去理解，可以明白压在美国普通劳动者身上的三座大山“医疗，教育，房贷”是统治者有意为之，出于对“ordinary workers, who won’t accept jobs unless they have no alternative”的恐惧。
你最后一点说的很关键，医疗行业的特殊性就是可以leverage人人都怕死和不惜一切代价求生的心理，利用人最脆弱最缺乏理性的时刻赚取利润。(25% of Medicare’s annual spending is used by the 5% of patients during the last 12 months of their lives.)
你如果不是美国health care 利益集团的一员从而屁股决定了脑袋的话，请原谅我无法理解你的逻辑
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