A lot of people are about to find out with this admin, how things that were certainly imperfect can be so much worse.

Building things is tough; tearing them down is relatively easy.

So much naivety. It’s like the new grad reading parts of a 500kloc project and proclaiming that it can only be saved by a full rewrite.

American Healthcare's "brokenness" involves massive bureaucracy, gate-keeping and processes that pressure providers to limit resources. But it does provide necessary things to people. A system that reduced the accuracy of diagnosis and treatment could still cost many lives.

That’s the attitude that got us here and I suspect we’ll ride it the whole way down

It’s really not, when was the last time anything happened fast in healthcare