The idea of comparative advantage and the rule that marginal productivity of physician office inputs per dollar spent should be equal over inputs are good in theory, but in practice may conflict with patient preferences.

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Patients often want the doctor to spend more time with them, listening to their concerns and answering their questions. For doctors, however, it is not the most efficient means of spending of their time, and they often prefer to delegate this task to nurses or physician assistants.

The Idea of Comparative Advantage and the Rule That Marginal