I did not say "Changing from the inside" works all the time. There's no perfect solution. If these YC alums, etc decide they don't want to be a "cog in the mac

I did not say "Changing from the inside" works all the time. There's no perfect solution. If these YC alums, etc decide they don't want to be a "cog in the machine", how else can they have improved the healthcare web site?