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by thehardsphere 3094 days ago
It's arrogant to assume that a new system will be better than the old one merely because it was re-written from scratch. Many companies died because someone said "let's rewrite this bit of software" and the project ended up failing because people vastly underestimated the difficulty of the re-write. Even though they were smart professionals who knew how to write software well.

Considering that software companies frequently fail to succeed at re-writes with something as inconsequential as software, what makes you think society can do it with something as consequential as healthcare? Especially considering that healthcare is in many ways much harder and more poorly understood than software?

1 comments

One advantage we have is that other countries have systems we could copy. Its not a complete re-write.
This is like saying that Netscape can re-write Navigator because they can copy Internet Explorer. It ignores that Netscape and Microsoft had totally different reasons for the choices they made, and that changing those choices in a re-write was very non-trivial for Netscape, to the point where it ceased to be a company.

You will likely find similar problems with this in attempting to replicate other health care systems. Indeed, you could complain that the mess we are in now is the result of doing a poor job replicating Switzerland's health insurance laws.