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by techdragon 1438 days ago
The problem is that it was built by the last 50+ years of technology and regulations. The system is a product of its upbringing. A company could starts out with noble goals of doing better and slowly year by year sink into this morass and become just another “part of the problem” before it becomes obvious to everyone that it’s now just another entity making things worse.

These kinds of reforms would have had to begin decades ago to make much of a difference.

2 comments

> The problem is that it was built by the last 50+ years of technology and regulations.

So... perhaps if we'd had a better goal 50 years ago - single payer or universal medicare or whatever you want to call it - we'd have decades of technical debt that propped up a fairer system, instead of an unfairer one?

Perhaps we need to change our goals today so that 20-30 years from now things will be better then?

I wonder if it is possible to design regulations with the intent that they may change and the data may require reformatting. At least a best standards practice of how these regulations should be written should be possible.
> “… noble goals of doing better…”

Compliance within regulation is a noble goal? I should think it’s ethical goal.