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An instance of something we see in software: a US health insurance company tells anesthesiologists that it won't pay them if surgery takes too long.

This is pretty similar to managers telling software teams how long the software will take to finish.

Physicians have historically been resistant to outsiders telling them how to do their job – and have had the clout to make their opinion stick. I suspect that clout has been eroded to nothing over the past 30 years.

https://www.asahq.org/about-asa/newsroom/news-releases/2024/11/anthem-blue-cross-blue-shield-will-not-pay-complete-duration-of-anesthesia-for-surgical-procedures