Forbes November 3, 2021
When I was an undergraduate student, I was convinced by my professors of healthcare policy that the solution to what ails American healthcare—unequal access, extreme variations in quality, high costs and disparities in outcomes—lay in smart policymaking. We need healthcare policies that enable the right things to happen to patients more often than not, I was taught.
More than a decade after the passage of the Affordable Care Act and the HITECH Act, I am less convinced of the certitude of this well-intentioned teaching than ever. Both pieces of legislation and the regulations that ensued from them were magnificent in their intent but incomplete in their real-world execution. Having spent my career across all sectors of healthcare—government, healthcare delivery, payer...