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Bangalore India hospital flow

Derek Sivers · 3 Sept 2026

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  1. We’re used to using price as an indicator of quality, so our instinct says that the $20,000 surgery in Switzerland is better than the $2000 surgery in India, but the rule of volume disagrees.
  2. It’s not orderly. But neither is water flowing in a stream. It flows around obstacles. Everything is opportunistic, selfishly taking the effective path, exploiting available gaps. It’s natural.

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