Interviewer: I see you like to study health policy. What do you think are the biggest problems with our healthcare system today?
Taylor: Cost, quality, and access; we spend way too much money and still don’t have relatively great outcomes or access to care.
Interviewer: How do you think we can solve them?
Taylor: You missed a question.
Interviewer: What do you mean?
Taylor: Didn’t you mean to ask me what’s causing the problems before you asked me how to solve them?
Interviewer: *Gives me the “go on” look*
Taylor: Well, you’ve just exemplified the secret (fourth) problem of healthcare: ignorance. We skip the second question. We don’t really understand what’s causing the problems we identify. Instead, we jump right to ideas about how to solve them (i.e., answering the third question). So, go ahead and try again.
Interviewer: Thank you, but that will be all. And remember, don’t worry about calling us–we’ll call you.
This is my explanation for being so slow to form an opinion on reform proposals. I don’t really know what would help yet because I don’t really understand all the root causes of the problems. I guess one can probably never understand all of the root causes, but one can surely understand the two or three main ones to each problem. And there doesn’t seem to be a single place online or anywhere that I can go to find them clearly laid out and thoroughly explained. It’s probably because we keep skipping the second question.
Now if only I could figure out what justice is . . .