patrick.net

i have long suspected that the very rich and powerful love authority and regulatory structures because they tend toward status quo and when you’re at the top, that’s good for you. and the rules probably don’t apply to you anyhow. but this is not really the interesting part of mark’s day.

that came when he took exception to some comments by long time gatopal™ and rational ground grounding rod justin hart.




let me make that easy for you:
yes.
they serve only to raise prices, protect guild systems, stifle innovation, limit freedom, and limit choice.

any credential/skill that is truly important will be demanded by the market anyway.

let the customer decide, not the bureaucracy.

make all commerce, association, and interaction voluntary and consensual.

what should med or law school look like?

let the market decide not some technocrat in a regulatory agency who has much to gain by promoting scarcity and lack of choice.

you would not accept this rationale in most aspects of your life. imagine a “marriage panel” the decided who you were allowed to consider wedding. lots of people seem to get it wrong. for many, it’s very expensive. so should “experts” be in charge?

the ethical basis of mandatory credentialing is just as bad.

it’s just taking choice away from you and calling it “public good.”

hardly a practice with a laudable history.

it’s deeply ironic to see a guy who got rich helping to disintermediate over-regulated and ossified media now weigh in in favor of ossification. ...

no one is saying “hey, just trust any old person do to heart surgery or fly your airplane.”

to claim so a silly grandstanding move.

everyone will seek out qualified people.

that is not the issue.

the issue is “who gets to decide what constitutes “qualified”?”
and mark does not seem to want it to be you.

i mean, really stop and think about this: do you trust just anyone with an MD or a JD?

if you care about "credentials," great, patronize those who decide to get them. if you don't, don't.

make it all voluntary and then, like iso-9000, if people care, it will be supplied. in the absence of regulation, accreditation, and other such interference and restrictions on consensual commerce, what the market demands the market gets.

and that is a VERY powerful idea.

licensing lawyers is no different than having a produce czar decide who can grow vegetables, under what conditions, and how many of which they should produce.

it’s trade restriction.

and trade restriction always creates a net deadweight loss for society.




you might have some idea of “how trained a doctor should be” and i might have one too. and they might be different. but in a free market, each of us can satisfy our desires and offerings can evolve to suit demand.

in a market captured by guilds, we cannot. there is only one answer and it provides a high hurdle and a built in system of grift and apprenticeship where it costs people huge money to become a doctor and then they have to work for peanuts for years in “residency” that’s basically medieval style guild apprenticeship.

such a system does not innovate. it does not allow in ideas like AI (that is already outperforming doctors on many tasks including diagnosis) or ideas like “maybe a doctor who is just going to perform lasik does not need a full MD” or “maybe we should be teaching a different curriculum more based in critical thought and assessment rather than rote regurgitation” or “maybe we need more pharmacology and less physiology. or maybe the obverse.” you’re not even really getting “one size fits none.” you’re getting “one size fits guild needs.”

such a system will always seek to over-price access and then constrain supply because that is what maximizes oligopolistic/monopolistic profits.

and this is EXACTLY what they have done. med school and residency batter the hell out of students, push rote learning over critical thought, and leave graduates beholden to boards and credentials and generally in nasty debt.

the schools thrive, the hospitals thrive, the regulators thrive, and if once they manage to milk enough “dues paying” out of you, so too might an aspiring doctor one day but not until they have extracted massive guild profits from you and never without continuing to be under their thumb. california’s new foray into overt medical censorship by holding credentials hostage shows just how powerful and intrusive this can get. ...

this whole notion is just more “expert worship” and the core socialist fallacy of “we just need smarter guys to make top down planning work next time!”

no, we don’t

that never works.

it breaks choice and constrains supply according to what an industry wants rather than what its customers do.

it’s a recipe for stultification and profiteering. it’s a recipe for perpetual guild domination where innovation should be.

medicine in particular is predominantly a technology field. it should be dropping in price, not exploding and the fact that it is not speaks to market breakage.

guilds are market breakage.

giving someone else the power to determine for what and under what conditions you can hire the services of another person is market breakage

the only reason to require such things to sustain a non-market equilibrium.

it’s really that simple.

it’s clear why so much “big business” wants that.

but why do you want that?

you don’t. it’s being sold as illusory safety.

you are surrendering freedom and consumer sovereignty for a cage built by profiteers.

and we all know how that goes…