Yes, I too have noticed an increased high quality customer service.

If, and that's a huge if, the savings are actually passed on to the customers rather than the capital owners.

Lowering prices or raising wages due to increased productivity is not a given, and often does not follow. There is more to pocket by shareholders though.

> makes medical care cheaper for patients

I think you misspelled “increases profit margins for hospitals” if you’re talking about US healthcare.

> Lower staffing levels per unit of care performed makes medical care cheaper for patients.

yeah yeah, sure sure

> Lower staffing levels per unit of care performed makes medical care cheaper for patients.

Based on how neoliberal capitalism tends to work it will simply lead to more profits for hospitals etc.

I think this is only true if the # of doctors available per patient stays the same. If productivity increases, you can have fewer doctors available while providing the same quality of care.

So, quality doesn't necessarily increase in all cases.

> how come productivity increase actually led to increase in quality in almost all cases?

It doesn't, this is just plain false. Most productivity gains happen by cutting value-add complexity or material quality. See IKEA chairs versus Shaker ones, or lycra clothes versus silk.

> internet/digitasion for doctors for example.

I see the misconception. The internet was not created to serve productivity, it was a communication medium. That it can be used to increase productivity is orthogonal to its existence or purpose, and whether it has been used to actually increase quality of something is entirely dependent of the specifics of what you're discussing. For instance, in gaming right now there's a huge discussion going on about whether digital distribution has actually trapped us with crappier goods which we can't resell or transfer.

This is like asking your drug dealer if being high will help you forget your problems.

Wdym? self-checkout definitely lead to fewer supermarket workers being employed.

I don't have the numbers on this, but if you look at per-capita self checkout probably had some effect.

Our population is increasing which means we need jobs to be increasing at same rates. The effect on supermarkets is they get more customers as population increases but they are able to lower the relative number of staff per customer.