In addition to this constraint on supply, the demand is inflated by medical insurance which makes consumers price insensitive and produces a "use it or lose it" mentality where people are compelled get certain services they don't really need to not let the unused budget expire.

The solution is to increase supply by making medical education a 4 year program that has no undergrad prerequisite and no residency postrequisite like it is in many parts of the world and also reducing the unnecessary demand by removing any government requirement that employers provide medical insurance or any subsidy towards getting medical insurance.

Another factor is the recruiting teams are assessed on conversion, how many passed phone screens, on sites, and offer accepts etc, but not on the performance of those employees after they join. So recruiters just spam anyone they think will have a remote chance of passing some stage of the interview process.

There have to be consequences to hiring a bad hire for the recruiting team and they have to be severe enough to make recruiting risk averse.

But this will never be the case if the organization is in growth mode where everything manager is trying to get as much headcount and hiring as fast as possible.

Come on guys just pay a few dollars for a service you spend 30+ hours on per month. It's like 2-3 starbucks coffees.

However I do believe long term memory is more robust so if you're in a mentally compromised state, such as having a headache, it will be less affected. So if you have to work through a hard problem on a deadline but have a headache, you can rely on heuristics stored in long term memory rather than deriving everything in short term memory.