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Or: suppose you think that US cities don’t have good mass transit.But if lots of people want better mass transit and are willing to pay for it, this is a great money-making opportunity.In the same way, suppose there’s a city full of rich people who all love Thai food and are willing to pay top dollar for it.The city has lots of skilled Thai chefs and good access to low-priced Thai ingredients.Suppose you thought that modern science was broken, with scientists and grantmakers doing a bad job of focusing their discoveries on truly interesting and important things.But if this were true, then you (or anyone else with a little money) could set up a non-broken science, make many more discoveries than everyone else, get more Nobel Prizes, earn more money from all your patents and inventions, and eventually become so prestigious and rich that everyone else admits you were right and switches to doing science your way.

But go too far with this kind of logic, and you start accidentally proving that nothing can be bad anywhere.

This isn’t to say nobody can ever win a Nobel Prize.

But winners will probably be people with access to new ground that hasn’t already been covered by other -seekers.

All the sick people would go to them, they would make lots of money, investors would trip over each other to fund their expansion into new markets, and eventually they would take over health care and be super rich.

So “health care is inefficient and overpriced” seems like the same kind of statement as “a bill has been on the floor of Grand Central Station for a week and nobody has picked it up.” Therefore, health care isn’t inefficient or overpriced.

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