But what little did I know. You see, healthcare itself is sick. Something is very, very wrong in health care. You see, we've never had more well-educated, more dedicated, more specialized physicians.
We’ve never had instruments, and labs, and diagnostic tools that are more precise.
We’ve never had therapies and drugs that are more potent, and can render what was once a death sentence, as a mere inconvenience or meme.
And yet, despite all of this, healthcare is failing on any measure that we care about, be it clinical quality, patient experience, and most of all, the $4.5 trillion bill that healthcare levies on America every year.
Things are getting worse. But why? People tell me, “Edmund, it’s complicated.” No, It’s complexity. In healthcare, we have never slain the demon of complexity.
You see, in other parts of the economy, like technology or consumer goods, there are patterns and modes of thought like standardization, automation, playbooks that enable us to simplify what we’re doing, by doing the same thing over and over again.
My Apple Watch is a great example of this. A tremendously complicated device, and yet one of millions of identical devices.
That standardization enables Apple to make the device at low cost and high quality. But in healthcare, we are the product, and there's no such thing as a standard human. Heck, I don't even know what size my shoe is half the time. And so everything we’ve learned and applied in the rest of the economy, about simplification, doesn’t work in healthcare, and the cruel irony, is that those new specializations of physicians, those new instruments, those new therapies, while individually good, combine to increase complexity, and so make things worse. // 285 words