Earlier quoted context omitted.
>"That we're fucking idiots all the time isn't news to us. It is news to some other professions that don't have such a tight feedback loop between success and failure." This is great, there is nothing like thinking "wtf is wrong, someone changed some library last update and that is the cause", then hours later realizing you are a moron. How exactly can this happen in medicine without severe social consequences?
Instead of library updates imagine half the doctors and nurses don't speak English with a high degree of fluency and don't come from the native culture. That is so obviously a problem for communicating subtleties that it's infuriating that it has to be explicitly pointed out. Speaking of reform. I think the only answer is closing the gap between action and success/failure i.e. a tighter feedback loop. Some futuristic…
I think you have some great ideas.
>"So why hasn't something radically better already been done?...In addition to this you'd have to make the general public aware of how bad their healthcare really is."
Maybe at this point the consequences would be worse than the current problem, at least in the short term.