---
title: "Timeline photos @[20923640:2048:Elizabeth Jack] asks"
date: 2022-02-19
source: facebook
type: Archer T. Ships added a new photo.
---

# Timeline photos @[20923640:2048:Elizabeth Jack] asks

*February 19, 2022 · Facebook*

::::: {}
::: {}
![](img/2022-02-19-fb-001-img01.webp){style="max-width:100%; margin:1em 0"}
:::

::: {}
Elizabeth Jack asks\
\
\"So here\'s my question: how can we reform the education system to emphasize its role as a certification process rather than a medium of knowledge transfer? And how do we do this in a way that makes it more accessible to everyone, rather than merely a rubber stamp that gatekeeps careers based on wealth?\"\
\
There are a plethora of laws and regulations that largely serve to protect established businesses or protect the salary of existing members of a politically powerful cartel. Eliminate these rentseeking laws, and you drastically lower the cost of entering the market for the poor.\
\
For example, I would abolish all of the following barriers to entry in the medical field:\
\
\* medical licensure\
\* FDA\
\* prescription drug laws\
\* DEA\
\* patents\
\* Certificate of Need laws\
\* cross-state restrictions on insurance sales\
\* import bans / tariffs on drugs / medical supplies\
\
But what about quack / incompetent doctors you may ask?\
\
Earning a medical license means you once had enough knowledge to pass the exams. It doesn\'t mean you \_currently\_ know anything. Knowledge retention past exams is dismal across the board, no matter the discipline.\
\
In order to keep their chops up, doctors must constantly update, refresh, and practice their skills.\
\
Thus, if it were up to me, I\'d like to see the creation of a non-profit that scored doctors based on \"secret shoppers\": real patients with real conditions who secretly evaluate their physicians, much like the secret shoppers used to evaluate retail stores.\
\
Prior to treatment, the \"secret shoppers\" would be scored based on the severity of their condition by three randomly selected doctors.\
\
Then they would be treated by a randomly selected physician (the one to be evaluated).\
\
The treating physician\'s performance would then be scored afterward by those same doctors and the patient themselves.\
\
The doctor would then get a score, based on their performance and scaled by the severity of the case. Would-be patients could see the score for each secret patient, as well as aggregates of their scores.\
\
As I envision it, doctors would pay a fee to be evaluated (so that they could advertise their competence). Or perhaps the fee would be paid by insurance companies (in order to reduce their payouts for physician incompetence).\
\
The medical care for secret patients and other costs of operation would be paid out of these fees.
:::
:::::