Scott Adams has some interesting thoughts on the future of healthcare reform, and what he sees as President Trump's "systems" approach to the problem.
The quick summary is that a system is something you do on a regular basis that improves your odds of success in a non-specific way. Systems-thinkers choose paths that allow them to come out ahead in the long run even if they appear to be “failing” along the way.
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As a systems-thinker, I don’t see the first attempt at a GOP healthcare bill as a failure. I see it as part of Trump’s normal systems-thinking approach. The tell for a good system is that failure puts you AHEAD. And that’s exactly what happened.
By the way, I told you during the campaign that one of Trump’s signature moves is creating two ways to win and no way to lose. He did that again with healthcare. Here were his two ways to win:
1. Healthcare bill gets passed on the first try. Trump looks like an effective leader. The details of the bill get improved over time.
2. The healthcare bill does NOT pass on the first try. This softens up the far right by branding them villains. Now they have to compromise on the next bill or watch as centrist Democrats enter the conversation. Meanwhile, the clock is ticking on Obamacare, and the conditions for compromise are IMPROVING EVERY MINUTE. That’s what the Master Persuader tells us happens when you “walk away from the table” like you mean it. Trump just walked away from the table to go work on tax reform. If you watch his Twitter feed, you know he is winking at the public and telling us to stay tuned on healthcare.
Meanwhile, a fascinating thing is happening outside of government. Watch how many private citizens are looking into the details of healthcare reform and even proposing their own solutions on blogs and articles. The nation is engaged on the topic in a way that looks like a self-organizing system. All the public needs is some sort of common website that is designed to discuss the pros and cons of the various ideas in plain language so the best ones can bubble up to the top.
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I don’t like living in the “can’t do” country. If Congress can’t get healthcare fixed, the public appears ready and willing to fill the gap.
There's more at the link.
This is an interesting perspective. Is it possible for public opinion to bypass the logjam of Congressional and Senatorial politics, and come up with a solution to a national problem that's crowd-sourced, rather than forced upon us by lobbyists and special interests? I don't know . . . but if it is possible, it should be feasible in more areas than just health care. That opens up all sorts of interesting and intriguing avenues, and a far more participatory future for democracy. Might the smartphone and other forms of mass communication usher in the era of "instant referendum" politics?