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yeah, it's a failure mode of the open market. "We've allowed services to exist that unnecessarily cost you money so the solution is more services that will take more money." If we're being honest, at some point the golden cow of Efficiency is undermined.

The societal ethics of Ozempic are an example of this. We've created policies and subsidies that flood the food market with unhealthy processed food to the point that the cheapest option is an unnatural amount of calories (compare US obesity rates to the rest of the world), so the solution is a pharma product that takes an additional cut of your wallet. It's an expensive solution to an expensive problem that shouldn't exist in the first place.

The software analogy is it's always easier to slap on one more piece of duct tape tech debt than to do the difficult thing and refactor the whole thing (acknowledging that part of the refactoring difficulty is you're not guaranteed to end up in a better state than you started from...)



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