for the marketeers amongst us

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for the marketeers amongst us

gepr
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.

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?

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Re: for the marketeers amongst us

Pieter Steenekamp
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.
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.  

On Mon, 26 Apr 2021 at 19:49, uǝlƃ ↙↙↙ <[hidden email]> wrote:
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.

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?

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Re: for the marketeers amongst us

gepr
OK. But a contract-governed market isn't any more "free" than a regulated market, neither of which are maximally efficient. And in the context where all the negotiating power lies with one side or the other, those contracts may end up even *more* restrictive than government regulations. (E.g. if all the multinational corporations get together and put the same boilerplate in their contracts, like routing all breach claims through arbitrage by an AI in St Petersburg.) But even if it's not, i.e. somehow where we regulate the market so that only symmetric contracts stand, if any 1 party entangles, via contract, with multiple other parties without normalizing all their contracts, the mesh of contracts will eventually "gum up". (Anyone who's signed more than 1 non-compete NDA will know what that looks like.) Another (non-free) restriction could be to sunset all contracts at, say, 1 year. So, every entrepreneur has to go back through their mesh of NDAs and re-negotiate/re-sign them every year. But 1 year contracts won't work for everything. So, there'd necessarily be a gumming up around how long the mesh of contracts lasted.

All of this works directly against the "freedom" (including transparency and efficiency) of the market. So, contract markets are not free markets at all. Counterintuitively, a well-regulated market can be freer, more efficient, than a contract market. But if the regulators could *reduce* all the complexities of any contract into merit/outcome (instead of price), then that reductive measure could be multimodal (which price can't ... which leads to financial instruments). It might also be multidimensional. Outcome could be a vector of both some variable like [non]responder and time.

There'd have to be rules about concreteness of outcome-compliance, of course. E.g. if side effects from toxic false teeth you bought on the street corner kill you from sepsis, you couldn't claim the outcome was met just because you no longer need false teeth (because you're dead). But if the outcome were <no longer need false teeth, still alive after 2 years>, then the teeth vendor could get paid.

In effect, this is what we have already, except "outcome" is diffused through the multifarious jurisdictions and power dynamics of who can, and the RoI of, hiring a team of lawyers. If the modes and reduction to outcome were more algorithmic, it might make the markets more efficient than they can be with asymmetric contracts or deep-canon centralized regulation.


On 4/26/21 1:37 PM, Pieter Steenekamp wrote:
> 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.
> 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.  
>
> On Mon, 26 Apr 2021 at 19:49, uǝlƃ ↙↙↙ <[hidden email] <mailto:[hidden email]>> wrote:
>
>     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.
>
>     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?


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Re: for the marketeers amongst us

Pieter Steenekamp
 "But a contract-governed market isn't any more "free" than a regulated market"

Maybe what  we understand by "free" is different? If I evaluate the risk rewards and decide I want to get dentures for 1 dollar from the "pavement-dentist" and the regulators do not prevent the transaction, I consider that a free market transaction. If the regulated market prevents that transaction, I'm still without front teeth. How can you claim the contract-governed market isn't more "free" than the regulated market? In my understanding of "free" the contract-governed market is more free; I end up with dentures and the enterprising man makes a profit. In the free market case the outcome is win-win and the regulated market case lose-lose.

What do I miss about your point? Maybe if you explain to me how you understand "free" we can sing from the same sheet.

On Mon, 26 Apr 2021 at 23:11, uǝlƃ ↙↙↙ <[hidden email]> wrote:
OK. But a contract-governed market isn't any more "free" than a regulated market, neither of which are maximally efficient. And in the context where all the negotiating power lies with one side or the other, those contracts may end up even *more* restrictive than government regulations. (E.g. if all the multinational corporations get together and put the same boilerplate in their contracts, like routing all breach claims through arbitrage by an AI in St Petersburg.) But even if it's not, i.e. somehow where we regulate the market so that only symmetric contracts stand, if any 1 party entangles, via contract, with multiple other parties without normalizing all their contracts, the mesh of contracts will eventually "gum up". (Anyone who's signed more than 1 non-compete NDA will know what that looks like.) Another (non-free) restriction could be to sunset all contracts at, say, 1 year. So, every entrepreneur has to go back through their mesh of NDAs and re-negotiate/re-sign them every year. But 1 year contracts won't work for everything. So, there'd necessarily be a gumming up around how long the mesh of contracts lasted.

All of this works directly against the "freedom" (including transparency and efficiency) of the market. So, contract markets are not free markets at all. Counterintuitively, a well-regulated market can be freer, more efficient, than a contract market. But if the regulators could *reduce* all the complexities of any contract into merit/outcome (instead of price), then that reductive measure could be multimodal (which price can't ... which leads to financial instruments). It might also be multidimensional. Outcome could be a vector of both some variable like [non]responder and time.

There'd have to be rules about concreteness of outcome-compliance, of course. E.g. if side effects from toxic false teeth you bought on the street corner kill you from sepsis, you couldn't claim the outcome was met just because you no longer need false teeth (because you're dead). But if the outcome were <no longer need false teeth, still alive after 2 years>, then the teeth vendor could get paid.

In effect, this is what we have already, except "outcome" is diffused through the multifarious jurisdictions and power dynamics of who can, and the RoI of, hiring a team of lawyers. If the modes and reduction to outcome were more algorithmic, it might make the markets more efficient than they can be with asymmetric contracts or deep-canon centralized regulation.


On 4/26/21 1:37 PM, Pieter Steenekamp wrote:
> 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.
> 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.  
>
> On Mon, 26 Apr 2021 at 19:49, uǝlƃ ↙↙↙ <[hidden email] <mailto:[hidden email]>> wrote:
>
>     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.
>
>     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?


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Re: for the marketeers amongst us

gepr
Yes, maybe we do mean different things. I typically think "free" in the market sense means able to trade whenever and for whatever. So, if I want to buy an island, I should be able to do so in the blink of an eye. Of course, that's physically impossible. So we come up with a principle like "as fast as possible". If it takes 3 months to liquify some assets, 1 month of escrow, 2 months for the lawyers to draft the contract, etc. then the market's "freedom" is limited to 6 months at the fastest. Similar "friction" could be built for very slow transactions ... the slowest you can perform a human-to-human contract would be something like 100 years ... before one or the other human dies. So, the market for material X can't move faster than T0 and can't move slower than T1. It's not a completely free market.  That's temporal limits. But we can also have spatial limits.

Now, what we normally mean by free is a special case of the above. Someone like von Hayek would say we can define freedom in a negative way, where we simply refuse to regulate processes we don't "completely" understand. (The scare quotes mean "good enough", 80/20, maybe.) So freedom in that sense is a kind of ignorance. If you *know* street-dentures kill people, yes it should be squashed. But if you don't *know* that, then let it happen (until people start dying, anyway).

Ignorance isn't freedom, though, as the conversation about free will demonstrates. The wiggle room the market has to optimize to the most efficient trading is presumed to be an ontologically real thing. If there are 2 opposing regulations we *could* put in place, one of which *frees up* the market so that transactions can be faster, slower, more diverse, or whatever, then we should choose *that* regulation over the other because it increases the freedom of the market.

E.g. if all your people die from toxic dentures, then no people, no market. 8^D

I hope that helps define "free".

On 4/26/21 2:58 PM, Pieter Steenekamp wrote:

> / "But a contract-governed market isn't any more "free" than a regulated market"/
>
> Maybe what  we understand by "free" is different? If I evaluate the risk rewards and decide I want to get dentures for 1 dollar from the "pavement-dentist" and the regulators do not prevent the transaction, I consider that a free market transaction. If the regulated market prevents that transaction, I'm still without front teeth. How can you claim the contract-governed market isn't more "free" than the regulated market? In my understanding of "free" the contract-governed market is more free; I end up with dentures and the enterprising man makes a profit. In the free market case the outcome is win-win and the regulated market case lose-lose.
>
> What do I miss about your point? Maybe if you explain to me how you understand "free" we can sing from the same sheet.
>
> On Mon, 26 Apr 2021 at 23:11, uǝlƃ ↙↙↙ <[hidden email] <mailto:[hidden email]>> wrote:
>
>     OK. But a contract-governed market isn't any more "free" than a regulated market, neither of which are maximally efficient. And in the context where all the negotiating power lies with one side or the other, those contracts may end up even *more* restrictive than government regulations. (E.g. if all the multinational corporations get together and put the same boilerplate in their contracts, like routing all breach claims through arbitrage by an AI in St Petersburg.) But even if it's not, i.e. somehow where we regulate the market so that only symmetric contracts stand, if any 1 party entangles, via contract, with multiple other parties without normalizing all their contracts, the mesh of contracts will eventually "gum up". (Anyone who's signed more than 1 non-compete NDA will know what that looks like.) Another (non-free) restriction could be to sunset all contracts at, say, 1 year. So, every entrepreneur has to go back through their mesh of NDAs and re-negotiate/re-sign
>     them every year. But 1 year contracts won't work for everything. So, there'd necessarily be a gumming up around how long the mesh of contracts lasted.
>
>     All of this works directly against the "freedom" (including transparency and efficiency) of the market. So, contract markets are not free markets at all. Counterintuitively, a well-regulated market can be freer, more efficient, than a contract market. But if the regulators could *reduce* all the complexities of any contract into merit/outcome (instead of price), then that reductive measure could be multimodal (which price can't ... which leads to financial instruments). It might also be multidimensional. Outcome could be a vector of both some variable like [non]responder and time.
>
>     There'd have to be rules about concreteness of outcome-compliance, of course. E.g. if side effects from toxic false teeth you bought on the street corner kill you from sepsis, you couldn't claim the outcome was met just because you no longer need false teeth (because you're dead). But if the outcome were <no longer need false teeth, still alive after 2 years>, then the teeth vendor could get paid.
>
>     In effect, this is what we have already, except "outcome" is diffused through the multifarious jurisdictions and power dynamics of who can, and the RoI of, hiring a team of lawyers. If the modes and reduction to outcome were more algorithmic, it might make the markets more efficient than they can be with asymmetric contracts or deep-canon centralized regulation.
>
>
>     On 4/26/21 1:37 PM, Pieter Steenekamp wrote:
>     > 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.
>     > 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.  
>     >
>     > On Mon, 26 Apr 2021 at 19:49, uǝlƃ ↙↙↙ <[hidden email] <mailto:[hidden email]> <mailto:[hidden email] <mailto:[hidden email]>>> wrote:
>     >
>     >     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.
>     >
>     >     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?


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Re: for the marketeers amongst us

Gary Schiltz-4
In reply to this post by Pieter Steenekamp
I suspect, to use an open source software aphorism, you are speaking of "free as in beer" and Glen is speaking of "free as in freedom".

On Mon, Apr 26, 2021 at 5:04 PM Pieter Steenekamp <[hidden email]> wrote:
 "But a contract-governed market isn't any more "free" than a regulated market"

Maybe what  we understand by "free" is different? If I evaluate the risk rewards and decide I want to get dentures for 1 dollar from the "pavement-dentist" and the regulators do not prevent the transaction, I consider that a free market transaction. If the regulated market prevents that transaction, I'm still without front teeth. How can you claim the contract-governed market isn't more "free" than the regulated market? In my understanding of "free" the contract-governed market is more free; I end up with dentures and the enterprising man makes a profit. In the free market case the outcome is win-win and the regulated market case lose-lose.

What do I miss about your point? Maybe if you explain to me how you understand "free" we can sing from the same sheet.

On Mon, 26 Apr 2021 at 23:11, uǝlƃ ↙↙↙ <[hidden email]> wrote:
OK. But a contract-governed market isn't any more "free" than a regulated market, neither of which are maximally efficient. And in the context where all the negotiating power lies with one side or the other, those contracts may end up even *more* restrictive than government regulations. (E.g. if all the multinational corporations get together and put the same boilerplate in their contracts, like routing all breach claims through arbitrage by an AI in St Petersburg.) But even if it's not, i.e. somehow where we regulate the market so that only symmetric contracts stand, if any 1 party entangles, via contract, with multiple other parties without normalizing all their contracts, the mesh of contracts will eventually "gum up". (Anyone who's signed more than 1 non-compete NDA will know what that looks like.) Another (non-free) restriction could be to sunset all contracts at, say, 1 year. So, every entrepreneur has to go back through their mesh of NDAs and re-negotiate/re-sign them every year. But 1 year contracts won't work for everything. So, there'd necessarily be a gumming up around how long the mesh of contracts lasted.

All of this works directly against the "freedom" (including transparency and efficiency) of the market. So, contract markets are not free markets at all. Counterintuitively, a well-regulated market can be freer, more efficient, than a contract market. But if the regulators could *reduce* all the complexities of any contract into merit/outcome (instead of price), then that reductive measure could be multimodal (which price can't ... which leads to financial instruments). It might also be multidimensional. Outcome could be a vector of both some variable like [non]responder and time.

There'd have to be rules about concreteness of outcome-compliance, of course. E.g. if side effects from toxic false teeth you bought on the street corner kill you from sepsis, you couldn't claim the outcome was met just because you no longer need false teeth (because you're dead). But if the outcome were <no longer need false teeth, still alive after 2 years>, then the teeth vendor could get paid.

In effect, this is what we have already, except "outcome" is diffused through the multifarious jurisdictions and power dynamics of who can, and the RoI of, hiring a team of lawyers. If the modes and reduction to outcome were more algorithmic, it might make the markets more efficient than they can be with asymmetric contracts or deep-canon centralized regulation.


On 4/26/21 1:37 PM, Pieter Steenekamp wrote:
> 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.
> 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.  
>
> On Mon, 26 Apr 2021 at 19:49, uǝlƃ ↙↙↙ <[hidden email] <mailto:[hidden email]>> wrote:
>
>     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.
>
>     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?


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Re: for the marketeers amongst us

Marcus G. Daniels

There’s “free” in the sense that neither the culture nor economy understood yet how to quantify or even talk about hypothetical transactions because the topics in question haven’t percolated through the population.

 

Usually people think of a libertarian “free” in the sense of don’t tell me what to do, but there’s also the liberal “free” of opening up more options so that new things are possible.   To be able to disengage from the economy where skills are valued in specific ways to do something else, like have time to play with a hobby.    Design a ceramic, build a boat, do whatever, just because.

 

It seems a common Faustian bargain is to convert the value of the skills into a pile of cash to spend out in retirement.  Of course, few people have a big enough pile of cash, or if they do, they don’t have the time to spend it.

 

From: Friam <[hidden email]> On Behalf Of Gary Schiltz
Sent: Monday, April 26, 2021 4:31 PM
To: The Friday Morning Applied Complexity Coffee Group <[hidden email]>
Subject: Re: [FRIAM] for the marketeers amongst us

 

I suspect, to use an open source software aphorism, you are speaking of "free as in beer" and Glen is speaking of "free as in freedom".

 

On Mon, Apr 26, 2021 at 5:04 PM Pieter Steenekamp <[hidden email]> wrote:

 "But a contract-governed market isn't any more "free" than a regulated market"

Maybe what  we understand by "free" is different? If I evaluate the risk rewards and decide I want to get dentures for 1 dollar from the "pavement-dentist" and the regulators do not prevent the transaction, I consider that a free market transaction. If the regulated market prevents that transaction, I'm still without front teeth. How can you claim the contract-governed market isn't more "free" than the regulated market? In my understanding of "free" the contract-governed market is more free; I end up with dentures and the enterprising man makes a profit. In the free market case the outcome is win-win and the regulated market case lose-lose.

What do I miss about your point? Maybe if you explain to me how you understand "free" we can sing from the same sheet.

 

On Mon, 26 Apr 2021 at 23:11, uǝlƃ ↙↙↙ <[hidden email]> wrote:

OK. But a contract-governed market isn't any more "free" than a regulated market, neither of which are maximally efficient. And in the context where all the negotiating power lies with one side or the other, those contracts may end up even *more* restrictive than government regulations. (E.g. if all the multinational corporations get together and put the same boilerplate in their contracts, like routing all breach claims through arbitrage by an AI in St Petersburg.) But even if it's not, i.e. somehow where we regulate the market so that only symmetric contracts stand, if any 1 party entangles, via contract, with multiple other parties without normalizing all their contracts, the mesh of contracts will eventually "gum up". (Anyone who's signed more than 1 non-compete NDA will know what that looks like.) Another (non-free) restriction could be to sunset all contracts at, say, 1 year. So, every entrepreneur has to go back through their mesh of NDAs and re-negotiate/re-sign them every year. But 1 year contracts won't work for everything. So, there'd necessarily be a gumming up around how long the mesh of contracts lasted.

All of this works directly against the "freedom" (including transparency and efficiency) of the market. So, contract markets are not free markets at all. Counterintuitively, a well-regulated market can be freer, more efficient, than a contract market. But if the regulators could *reduce* all the complexities of any contract into merit/outcome (instead of price), then that reductive measure could be multimodal (which price can't ... which leads to financial instruments). It might also be multidimensional. Outcome could be a vector of both some variable like [non]responder and time.

There'd have to be rules about concreteness of outcome-compliance, of course. E.g. if side effects from toxic false teeth you bought on the street corner kill you from sepsis, you couldn't claim the outcome was met just because you no longer need false teeth (because you're dead). But if the outcome were <no longer need false teeth, still alive after 2 years>, then the teeth vendor could get paid.

In effect, this is what we have already, except "outcome" is diffused through the multifarious jurisdictions and power dynamics of who can, and the RoI of, hiring a team of lawyers. If the modes and reduction to outcome were more algorithmic, it might make the markets more efficient than they can be with asymmetric contracts or deep-canon centralized regulation.


On 4/26/21 1:37 PM, Pieter Steenekamp wrote:
> 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.
> 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.  
>
> On Mon, 26 Apr 2021 at 19:49, uǝlƃ ↙↙↙ <[hidden email] <mailto:[hidden email]>> wrote:
>
>     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.
>
>     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?


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