I wouldn’t attribute to malice what could be more easily explained by incompetence. There are a ton of broadly agreed upon tweaks that could in aggregate fix a

I wouldn’t attribute to malice what could be more easily explained by incompetence. There are a ton of broadly agreed upon tweaks that could in aggregate fix a lot but none of them are big enough to campaign on, and they don’t fit neatly into either party’s platform. For example funding more residency positions could drive down the cost of delivering a lot of services over the course of 10 years, but that’s at the edge of CBO accounting and doctors are maybe mildly against it. It’s too free market oriented for dems and a little to spendy for Republicans. I could go on, but the point is a lot of fixes just aren’t sexy, we elect dummies, and well intentioned people make mistakes.