I might add that guilds rule in medicine and education.
Reader comment on: The New Commanding Heights
Submitted by Lyle (United States), Jul 27, 2011 15:58
In medicine the physicians guild is opposed to nurse practioners. In addition they have not yet tumbled to the idea of a different set of physicians treating in hospitals than in outpatient setting. If the hospitalist model were followed then the training for the two groups could be different. Why for example train outpatient family physicans in hospitals rather than in clinics?
When some innovation was tried with the HMO model where approval was required to see a specialist there was a major storm it was viewed as what would today be termed rationing. Note that lab tests today can be had much cheaper than hospitals and in most cases do not even need a physican's request. But in addition to the physican's guild the hospital guild would object to this. But of course guilds only exist with the consent of the government. As usual if regulations favor you you are all in favor of them, take taxi owners and medallions.
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