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Well, "practicing medicine without a license" is a crime. I mean, you can call yourself a "healer" or something and claim to help people in some general, non-specific way, but you can't prescribe meds, cut people up, etc etc.

So if you're a doctor you're given exclusive right to perform the economic activity of doctoring. In return you have a steep set of obligations, which include being truthful, ethical, not refusing service, etc.

What you said is a part of these "obligations", which definitely put you at an economic disadvantage, but that's ok, because you have exclusive rights to that activity. A doctor's obligations do impose costs on them, but not compared to other doctors.

The critical bit I'm trying get at is enforceability. If a doctor acts unethically, they can be challenged in front of their board by a patient and if they lose their license they can never practice medicine again. Having your livelihood at stake is a great incentive to act properly.

A software engineer such as myself, OTOH, has no little incentive beyond my own personal ethics. In many cases, being ethical will place you at an economic disadvantage compared to other software engineers. Actually, the whole notion of "ethics" is hand-wavy and ill-defined, because there's no professional organization.

Anyway, we can wish for good things and that'll party work and it's better than being cynical, but it'll only get you so far.



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