Stop Adding. Start Subtracting

David Epstein has been talking about a bias most of us never name. When something is broken, people reach for more. More parts. More rules. More layers. Researchers call it subtractive neglect. We overlook the fix that removes something.

Healthcare is that experiment at national scale. A visit gets a prior auth. A prior auth gets an appeal. An appeal gets a portal. A portal gets a middleman. Nobody asks whether the claim should have been there at all.

I am not shocked. The system was built to add. Direct care is the subtractive move. Flat monthly fee. No claim. No network. No permission slip before you see your doctor. Keep a policy for the wreck. Primary care is not a wreck. We take care of patients for a flat monthly fee. The number on the door is the number you pay.

You do not need another layer on the Lego tower. You need the one brick taken out.

Source clip: www.instagram.com/reel/DcJna25mwIl/