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Also, I don’t think my previous comment does assume that there are compelling alternatives.

A person always has a choice not to spend their money. Even if they need expensive healthcare, they can choose not to buy it. By buying the product, they want the service more than their money.

They might think that the price is too high, but prices are a function of market forces.

It doesn’t make sense to me that a person can say they feel exploited because they have voluntarily chosen to buy at a particular price. They probably want to pay less, and might feel that the consumer surplus is low, but they still value the service more than their money. That isn’t exploitation to me.






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