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Comment by ericb | Hacker News Reader

I'm not sure that "fairness" is exactly the right ideal if our goal is the most health and wealth for the most people? I want my doctor to be really great--to be in that job because he is the best at it. I don't want someone placed there by a truly random lottery, and I do want the guy who won the intelligence DNA drawing to be the one I talk to. I also want wealth to motivate people to get into that job, as it is so tough to gain that knowledge, I don't know if there will be enough people without a financial reward.

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Fairness in opportunities, which you just disqualified by assuming the best Dr need to be a MALE and GENTICALY PREDETERMINED SMART.

My (short) experience working in health care suggest both are very bad qualifications for a health professional.

So, first off, fair point for calling out that I said "guy." I tried to edit it once I saw my mistake, but the post was locked.

I'm curious, though, why you would not want someone who was genetically smart? Why would you want a "dumb" healthcare professional treating you? Do you not believe intelligence to be related to genetics?

Also, how does being male make one a worse healthcare professional?

If you are saying you want fairness in opportunities, then isn't discriminating on the basis of someone being male the opposite of fairness?

To be coldly rational, you want to pick from the group that is the most discriminated against for entry into medical school. Right now in the USA, that would be Asian males.

An exception is if you may need the doctor to insert a hand into your body. In this case, note that Asian female doctors generally have the smallest hands.

An exception is if you are very heavy and might require feats of strength for your care. In this case, young non-Asian males are most likely to have the needed strength.

It's pretty telling then you went for male pronouns to describe your hypothetical doctor.

Maybe? My primary care doctor is female, so whatever bias using a gendered pronoun might show, at the end of the day, I picked who I thought was best. On merit.

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