So just like for-profit health care customers must avoid rural regional hospitals hollowed out by VCs to be able to gain the better outcomes in a system hurdling toward catastrophe, space explorers must carefully avoid paths of a growing amount of space debris in a LEO system also hurdling toward catastrophe.
In both cases, I don't think the system works well without assuming spherical cows or something like that.
Edit: ah, I see it's "hurtling." Although I guess in both cases you have to dodge larger and larger geographic regions to claim success, so a bit like hurdling. :)
How is that working out with the US Health Care System?