Doctor, how much does it cost? Moral values and price talk in a stratified consumer medical market
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Abstract In recent years, economic sociology scholarship has begun to interrogate how moral understandings of market exchanges differ according to organizational context and class stratification, but it has not yet made clear how these structures might intersect to produce distinct meanings and practices. Through ethnographic observations at three fertility clinics in the USA, I investigate how fertility providers spoke about the price of care with patients given the threat to professional authority and patient trust from appearing financially motivated. Rather than one moral value, I find variation in the field that cannot be explained by attending to either class or organizational structure alone, but instead depends on how the two combine to shape perceptions of providers’ pecuniary interests. In considering variation in moral practices across clinics, I suggest that one way that actors match economic transactions with social relations includes talking about price explicitly or abstractly.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.015 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it