If I may give some feedback: I don&#x27;t know how anyone could have read your post as being about the appropriate level of economization of medical care due to the relative importance of fixed vs variable costs.  Your comment says nothing about that, and just comes off like the usual screed about &quot;how dare you apply accounting to health care, this is too important for that!&quot;<p>I think you could have been more explicit about (what you now say was) your core point.