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I think the issue is that I want a doctor who is competent, not just one who can get the best score on exams. More to the point, I want good effective fairly priced healthcare, not necessarily a doctor at all.

The current system is meritocracy with regards to a set of metrics very loosely associated with merit. It's insanity how much we read into meaningless differences in indicators of merit. We take an indicator that is very very loosely correlated with ability over the entire distribution, for typical applications, and assume that small differences at one end always matter. It's like reading tea leaves with regards to actual outcomes.

The problem with current inequity in society is that it's disproportionate and arbitrary. We frame these discussions as if it's meritocratic capitalism vs blind communism or something when what we have isn't actually meritocratic at all. If it were, we'd see much more diversity in society than we do, and many more options as consumers.

I'm not sure I agree with the proposal but at least it's honest. I'd rather have my child dealing with that than the current lie society tells itself. Then she wouldn't fall into a cycle of despair over a cruel fairy tale, and everyone would have a more accurate appraisal of what different outcomes mean.



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