I've spent my own career in healthtech and at actual clinics.
While I won't dispute the fact that medical care abroad can be hit or miss, we are certainly not strangers to substandard doctors ourselves.
The difference between your experience and reality, is that the bad US doctors get put in corners where you have not been looking.
You should read marty makary's book unaccountable.
So, while your heuristic may be valid for someone living in a large metro area with tons of options, I would make a safe bet that it wouldn't be as useful in rural, underserved areas where the bad doctors end up.
I've spent my own career in healthtech and at actual clinics.
While I won't dispute the fact that medical care abroad can be hit or miss, we are certainly not strangers to substandard doctors ourselves.
The difference between your experience and reality, is that the bad US doctors get put in corners where you have not been looking.
You should read marty makary's book unaccountable.
So, while your heuristic may be valid for someone living in a large metro area with tons of options, I would make a safe bet that it wouldn't be as useful in rural, underserved areas where the bad doctors end up.