I think the incentive itself is good, but there's too much corrupt abstraction in between.
Ultimately I want good providers to be paid well and poor providers to struggle. That is a good system. We don't have that. We MUST recouple healthcare and capitalistic incentives.
>"When a measure becomes a target, it ceases to be a good measure"
This is what "the economy" has become.
It is supposed to be metrics for quantifying the productivity and prosperity of a nation. It has now become the target for short-sighted bureaucrats, usually at great cost to the nation.
It's much more difficult to quantify happiness, community, harmony, purpose, togetherness, connection to people and soil and history. Can't hit those KPIs.
But you can absolutely destroy a nation trying to boost the next GDP stats in time for the election.
This is significant. It's using a hardware peripheral that is designed and intended for high frequency IO manipulation without CPU intervention. This isn't bit-banging, lest we start calling it "bit-banging" any time an FPGA or ASIC or even a microcontroller peripheral handles any kind of signalling.