When I was an undergraduate, I was convinced by my professors of healthcare policy that the solution to what ails American healthcare—unequal access, extreme variations in quality, high costs and disparities in outcomes—lay in smart policy making.
My natural tendency—learned over the years—is not to talk about bad things when they happen. An encounter with a Prius taught me perhaps that I should approach things differently.
The work of changing healthcare is too often fraught with flawed decision-making processes, pilot-obsession, and incrementalism. I propose some ways out.
Much of the way we deliver care is rooted in outdated, outmoded, and ill-considered perspectives on who patients are and what they want. 2020 is a year that is forcing us to re-examine our assumptions about American society.