This is the first time I've seen someone argue for the preservation of bureaucracy - I think the idea that health are policy should be rational is inarguable, b

This is the first time I've seen someone argue for the preservation of bureaucracy - I think the idea that health are policy should be rational is inarguable, but I think we could use Lewin's Three step model to Change Management as a guide to far-reaching public policy. Increase the collaborative nature of policymaking with constituents and there'd be less panic about mandating things, because the public will feel as if they had a say in it. I think there was a subtle dig at the current administration's non-patrimonialism, but if they use collaboration and public discussion as ways of formulating healthcare measures, then there wouldn't be need for strongman leadership to require mandates. Of course, mandating isn't necessarily the best choice, especially at any federal level, and the introduction of that idea should be floated in public discourse.