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Is status about favor exchange? I really would like a definition of what status is and isn't. My go-to definition is that it is about being "big". This is primitive, but that is the whole point, it has to be.
Status is about access to resources and control for resources. A person who gets favors from other people can access more resources.
Having the ability to physically beat up a doctor isn't likely to give you any preferential treatment from the doctors. Other forms of social status do.