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You've painted a picture in which doctors charge for time. This is (or should be) incongruous with what a doctor is for.

Doctors charge for identifying and telling you things non-doctors can't, with a high degree of non-harm-doing.

They've already put in the 10,000 hours to know which bolt to turn.

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Doctors very much charge for time. By definition, their work doesn't scale. But because of their immense training, they get to charge _a lot_ for that time.

The same is true in law. Just because you have 10,000 hours of training doesn't mean you aren't billing by the hour.

This is why there are many many doctor and attorney millionaires and very few doctor/attorney billionaires.

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