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Is it just me who notices certain parallels between the two cost-spiraling industries? Doctors/Teachers do not get to choose what meds/books are to be purchased by patients/students but it is a central body above them, so the middlemen go directly to lobby the central body in order to get their texts selected, and since the hospitals/universities are isolated from the effects of the choices, there is no cost-saving incentive but obscure settlements between big pharma/big publishers and the central bodies.
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