The Feudal Economics of Modern Healthcare: How Regulation Turned Medicine Into a Fiefdom

Government-created healthcare monopolies are forcing physicians into a kind of serfdom, gobbling up private practices to extract doctors’ labor.
The Feudal Economics of Modern Healthcare: How Regulation Turned Medicine Into a Fiefdom
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Commentary

High school history curricula often portray feudalism as a quaint medieval relic—a cautionary archetype of concentrated power, conditional rights, and extractive hierarchies that suppressed human flourishing for centuries. As ever, though, the deeper lesson of history is its recurring nature: when property rights erode and rent-seeking supplants open competition, societies reliably drift back toward feudal arrangements.

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Richard Menger
Richard Menger
Author
Richard P. Menger, MD, MPA, is an academic neurosurgeon and a graduate of the Harvard Kennedy School of Government. He is currently the chief of complex spine surgery at the University of South Alabama and the lead editor of the textbook “The Business, Policy, and Economics of Neurosurgery.”