I don&#x27;t understand how health care &quot;economists&quot; can even imagine that Doctors are fungible commodities. Last I checked we&#x27;re still using actual humans for the task, we haven&#x27;t invented good, working medical droids just yet. From that perspective of course people aren&#x27;t going to shop for a Doctor like they shop for a dishwasher: most people pick a general practitioner&#x2F;family practitioner based upon their social culture. How many people&#x27;s GP is an old friend or a family member? People develop attachments for their GPs. Their GPs are generally a part of their extended community. It&#x27;s then their GPs that recommend their Specialists, typically through the GP&#x27;s own social network&#x2F;community... Shopping for a Doctor as if they were a dishwasher is a bit like trying to shop for a new pet or spouse on the Home Shopping Channel.