> Can we fix the U.S. Healthcare system? My opinion is no.
I am going to say that every large 'super' institution will end up in this problem ... Unfixable.
Whether it is military, judiciary or educational system -- they have the same issues as the healthcare system -- when they grow 'super-large' and become managed centrally (either directly or via near-centralized money flows).
It is the nature of end-days of human-driven society super-structures (gradual corruption, then selective-outrage decision making, then more corruption, then a form of centralized control that removes innovation/investment incentives, then the down-fall in quality of function/service, then the destruction).
So the only solution to that, and I am 'stealing' this idea from the US founding fathers -- is to avoid having these near-centralized super structures.
Many think that we need this superstructures (including near-monopolies in business) to build complex things: planes, vaccines, CPU chips.
But we do not, and we should find a political and economical systems that are effectively based on many localized 'guilds' and decision centers linked into ad-hoc-chains to create increasingly better outcomes (with the cost of some repetition, some anarchy, and some missteps).
Military and supreme court are the only institutions that I think should be centralized, but they have to be ran with checks and balances that are distributed across the many 'local' decision and power centers.
So that's the only way I can think of to avoid this constant periodic death of the human-led super-structures.
I am going to say that every large 'super' institution will end up in this problem ... Unfixable.
Whether it is military, judiciary or educational system -- they have the same issues as the healthcare system -- when they grow 'super-large' and become managed centrally (either directly or via near-centralized money flows).
It is the nature of end-days of human-driven society super-structures (gradual corruption, then selective-outrage decision making, then more corruption, then a form of centralized control that removes innovation/investment incentives, then the down-fall in quality of function/service, then the destruction).
So the only solution to that, and I am 'stealing' this idea from the US founding fathers -- is to avoid having these near-centralized super structures.
Many think that we need this superstructures (including near-monopolies in business) to build complex things: planes, vaccines, CPU chips.
But we do not, and we should find a political and economical systems that are effectively based on many localized 'guilds' and decision centers linked into ad-hoc-chains to create increasingly better outcomes (with the cost of some repetition, some anarchy, and some missteps).
Military and supreme court are the only institutions that I think should be centralized, but they have to be ran with checks and balances that are distributed across the many 'local' decision and power centers.
So that's the only way I can think of to avoid this constant periodic death of the human-led super-structures.