Comment by mindslight

To be clear here, as the person who originally used the term in this thread, in light of your grandstanding about "anti-intellectualism" - I did use the term for its general connotations, not just to mean "bad".

The healthcare industry is obviously not an online platform. And I would say it's being done to "lower costs" rather than "raise profits" (the two are often related, but not the same). But other than these, it strikes me as the same basic dynamic in a different industry. I spelled it out in a different comment:

> it's part of a continual gradual march down in quality/services to a captive customer base. Basically the opposite environment of innovation aiming to serve customers

The thing with online platforms is that they are new and fresh having been built out of whole cloth by subsidizing investments, allowing for multiple discrete enshittification steps as management focuses on one area after another. Doctorow:

> This is enshittification: surpluses are first directed to users; then, once they're locked in, surpluses go to suppliers; then once they're locked in, the surplus is handed to shareholders and the platform becomes a useless pile of shit.

Whereas the healthcare industry has been turning the screws for years. Now it's just an environment of making things worse wherever new ways to "control costs" can be created.