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Comment by warbler73 | Hacker News Reader

The least capable doctor's time is worth $300/hr. The scribe is paid what, $25/hr?

This is so much like hearing of engineers that will not hire a $20/hr maid due to egalitarian reasons so they squat in filth or waste all their free hours cleaning, all while capable and willing cleaners starve. Insane.

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Any competent engineer should at least have a maid, driver, nanny, servant, chef, gardener, pool cleaner, a mistress, dog walker and personal assistant /s

You are overestimating how much least capable doctor makes (more like 100-150k) and underestimating how much somebody who can type medical information makes (more like $30-$35).

I live below the poverty level. I receive Section 8 funds for housing. The Section 8 inspections and quality standards are so important to me that I hire a cleaning service about 6 times a year to make sure everything in here is spotless, because I'm really not that psychologically or physically capable of cleaning everything, even if I had limitless free time to do it. The maids cost about $130 a visit and they're worth their weight in gold, just so I have peace of mind and a consistently clean place to live. The City thanks me for it, too.

Section 8 inspects your house to make sure you're cleaning your room? that seems... strange

Personal hours are not fungible. You can't replace a bit of cleaning time throughout the week with an additional $600.

Also there are plenty of costs to employing others besides the hourly cost. Large organizations have huge fixed costs to cover them. Consider:

- liability

- maintaining of knowledge and training to hire help

- skill to source and hire people

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