That can be migated. Just make a pre-negotiation round, were post vote, those parties who are below n% can give there vote share to the parties who make it over the limit, for a negotiated "goals" contract. No vote is lost..
It forces fringe, extremist and "eternal" oppossition parties to compromise and negotiate better terms and it can change elections that are really close.
Eh, i know surgery videos of people who know what they are doing.. so i can verify what they do in best/good times. (Recommend ARD/Alpha for those heart transplant videos)
The daylight of observation keeps all involved honest.
Then i also know horror stories from someone thrustworthy, about surgeons throwing extracted body parts after nurses in high stress situations. No, i will not name names, but life and death situations need a perfect team and you dont always got that perfect team.
And surgery quality being dependant on the actual execution of the surgery (chief surgeon is not automatic the best individual contributor to surgery).
You want the most hours on the knife guy for best outcome, not some administrator with white coat.
Also you want to be near univesity clinics, they are spearheading new stuff, the more you get away from them, the operation technique is depending on the age of the doctors education and the hospitals financials to keep up to date, send doctors to regular re-trainings and try new things. Then there are lawsuits, they keep the people responsible, but also risk averse.
So if you are in a high risk situation, in a lawsuit rich country you are fucked, cause nobody will try the dice throw when worst comes to worst.
Trust in systems working, is upkept by untrusting agents.
So like in capitalism, were the price aware negotiate the deals down for the crowd who does not want to haggle.
Finally: The infrastructure & hierarchy of hospitals (in europe), as we know them today, emerged largely from the two world wars were lots of nurses and doctors were integrated into army structures. Which means it suffers from the same inefficency and structural problems those armies back then suffered from. Now you have the MBA process micro optimization on top of that, so i wouldnt trust that machine blindly..
Maybe a over technical approach, but couldnt chat GPT be used to filter for replies by chat gpt? Also only kharma rich farming grounds would need to be checked.
There are lynchings in large parts of the world, and yes the government is dysfunctional, but not as dysfunctional as a mob acting on relgious prejeducies. Take pakistani lynchings for halucinated sacrilege to the qroan or african lynchings. So comunity circulating word of mouth becomes "fact" and then murder.
Meaning the most crazy, shizophrenic person told tale in a comunity becomes the "law" base. Lynchings are a horror.
It forces fringe, extremist and "eternal" oppossition parties to compromise and negotiate better terms and it can change elections that are really close.