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> Today's cars will go 100K miles easy with little more than oil changes and maybe a new set of brake pads and tires. Cars then needed regular tune-ups and generally started having more major problems after only a few years.

Yeah, getting your engine rebuilt used to be a fairly common occurrence. Now, unless you own a vintage car, it's quite rare.

> You don't have as many family doctors with their own or small group practices, where getting an appointment was pretty easy and they actually knew you.

Very true. The US health insurance industry is to blame for a lot of the consolidation; it's getting harder and harder for independents to survive as time goes on, with smaller providers being less attractive for insurers to begin with and the ones who will deal with them squeezing them more and more. The increasing documentation requirements by insurers are also much harder for independents to meet.




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