Hard to swallow pills:

- When the goal of medicine is profit instead of helping patients the outcomes will be poor.

- When the goal of education is profit instead of teaching students the outcomes will be poor.

- When the goal of politics is profit instead of collaboration the outcomes will be poor.

- When the goal of business is political, educational or medicinal the outcomes will be poor.

Generic formulation:

Any attempt to apply a metric that works in one context to the entire system will result in poor outcomes.