Barring the fact that heart surgeries and cooking can be automated (because it's speculative and doesn't add much to the discussion), I see what you mean. I do

Barring the fact that heart surgeries and cooking can be automated (because it's speculative and doesn't add much to the discussion), I see what you mean. I don't think 1 to 1 value exchange necessarily has it's place though. Does it matter that it's the person you helped that helps you? Does it even matter that get as much value as the amount you're giving out? I believe that offering value has value in itself if you know what I mean. I'm sure a friend of yours (or yourself) has once spent hours carefully making you understand something they knew well to the maximum of their ability, and loved it. People like to share, especially knowledge. Anyway, wouldn't a medical surgeon actually like to perform surgery? If anything else wouldn't he go looking for people? Everyone likes to hone their skills, and it seems more likely that heart surgeons go looking for patients to help and gladly accept to perform surgery on them (you let me work on you, and I'll fix you up) rather than go shoot a couple animals in the wood to patch them up afterward. I think there will be a completely new notion to service and favors anyway, without scarcity and ego.