i've got fucking nothing. in the 90s and maybe early 2000s it would have been painful but possible. we could have have deregulated much of the bureaucracy while loosening patents and control, gradually moving research into the public sector to prevent price gouging. or we could have incrementally nationalized the whole thing and gone the route of the rest of the world. hell we could have have simply implemented price caps for procedures to prevent a fanciful sticker price hidden behind a realistic in network price. we could have invested heavily in school programs for diet and exercise to reduce overall rates of illness. but everything changed when obamacare attacked. briefly it was a single payer option to bring healthcare to all. but that didn't survive long in congress. it met a bipartisan effort to let the industry itself write the law governing it. profitable yes but more than anything it was scorched earth. to make any attempt to seriously reform the system too expensive to be practical. now we have regulatory capture on an unprecedented scale. the worst of all possible scenarios. i have no idea how to fix this.
United States