U.S. healthcare isn’t just an historical accident–it is a fatal accident waiting to happen.
Many of the systems we take for granted are historical accidents. Either based on legacy systems hundreds of years old (higher education) or assembled in a short-term, ad hoc fashion (post-1940 national defense/ national security), these systems have expanded into vast patronage systems that are completely out of touch with 21st century needs, costs or realities.
The U.S. healthcare system was not planned; it is largely accidental.