<div dir="ltr">No, a free market system is not limited to outcome based contracts. Free market is allowing two (or more) parties to have a valid contract on the terms and conditions both (or all) parties agree on. A patient and an oncologist may agree on a contract where the patient pays for the effort and not the outcome, that could still be 100% within the free market system. This is of course provided the authorities don't have regulations stipulating the legal bounds of the contract.<br>For example, in Cape Town there are many poor people without front teeth. A while ago an enterprising man, without any medical qualifications, set up shop on a pavement to do false teeth at an order of magnitude lower price than a qualified dentist. He was shut down very quickly. In a free market system he would have been allowed to provide dentures resulting in happy poor people with front teeth who cannot afford a traditional dentist and an enterprising man making good money. With the regulations that protect people we now have an unemployed poor enterprising man and many people who are still without front teeth. </div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">On Mon, 26 Apr 2021 at 19:49, uǝlƃ ↙↙↙ <<a href="mailto:gepropella@gmail.com">gepropella@gmail.com</a>> wrote:<br></div><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex">Should everyone be paid based on merit/outcome? E.g. I go to the oncologist because cytometry tests show I have stage 4 lymphoma. We go through a years long treatment, at the end of which I may be a responder or a non-responder. A free marketeer *should* argue that the oncologist shouldn't be paid until an assessment of response can be made. Nonresponders shouldn't have to pay (or get a refund like you would buying, say, a blender off the internet). Responders have to foot the bill for the whole enterprise.<br>
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Obviously, there are plenty of other options, all of which are negotiated asymmetrically between the chronically fatigued cancer patient and the battery of multinational corporate lawyers driving Teslas. But the gist of the market is merit/outcome based. Right?<br>
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