There is much less competition than you seem to think regarding healthcare services . The AMA has a monopoly on licensing and intentionally creates a shortage of doctors . Service costs are rarely publicized coupled with the nature of medical emergencies and the difficulty in finding clinics , it ' s hard to legitimately shop around when you need something cured , fixed or diagnosed . <| sep |> Probably should ' ve blocked out the first word a little more . It ' s obviously the N word . <| sep |> You know us all too well <| sep |> The last replay it shows me is this one and i want this i have to wait ? <| sep |> When you gain altitude you decrease the available oxygen for combustion and you also decrease the ability for an engine to transfer heat to the surrounding atmosphere . You get flameouts and overheating engines . This isn ' t a conspiracy , it ' s very basic , simple physics .