I have a lot to say about this being a currently practicing MD, just passing my 31 year mark. For now, just a bookmark.
The short version is, that medical malpractice still runs the roost and all the stuff we find annoying and time consuming and barriers to care are all built to keep the bad outcome lawsuits away. If this country is serious about access reform and providing timely care to far more people, then reforming medical malpractice is the very first step. Not EMRs, not system changes or bigger teams, its malpractice reform. Without that. we will continue to have to build giant monoliths with every blood pressure check. I am not holding my breath.
What’s clear however, is that any answer that says let government run it because it will be more efficient, cheaper, better etc, please find a pier and just keep walking.
You are correct. In every word.