So much yes to this post. This tracks with about everything I’ve experienced so far. It also makes me appreciate even more the close friends I have in the medical profession; I know I can trust them to review ideas, think about them, theorize, and suggest other areas for research at a level that is appropriate for my skillset. In private, they admit to proposing numerous luck based treatments that panned out. Our hardware is complicated, and we have extremely limited monitoring and visibility on it. Doctors that aren’t burned out and are curious know that painfully well.
Personally, I’ve been doing a lot of investigation and understanding into my own health. Understanding my biochem, understanding the various subsystems, keeping good records myself instead of relying on our piss poor medical facility information management to do it. In the current environment, the only person that’s going to take care of you is yourself, and it’s best to train that up as a skill even if you’re lucky enough to have a good doctor. You won’t have that doctor forever.
Personalized medicine is a long way away; when I get to the point that I need substantial medical care, I plan to shop around for a doctor that I can spend time with, and hire them on a retainer basis as a personal physician. If nothing else, I’ll have them as an advocate to help me deal with specialists who don’t know me and don’t care.
I’d go way more limited:
No elected person may hold another elected position in any branch of government for at least one year and one day after the last day of their current term, even if they do not complete their term.
No branch of government may have direct control over the parameters or structure of elections or appointments for any position within the branch. This includes districting, type of voting system, timing, and election rules. If elections are for all branches, an independent party must be responsible for elections.
All elected and appointed officials must make full financial and tax records public for a period of no less than five years, prior to declaring candidacy for a position; if records are not made public, the candidate cannot be placed on a ballot and cannot be accepted as a write-in candidate. If elected or appointed, they must continue to make records available for a period of at least five years after the last day of their elected term, even if they do not complete their term.
“First past the post” election systems are disallowed for any and all government elections.
I’d like to add something about isolating inspectors general and making them more powerful, but I haven’t really stumbled across anything I feel good about in that area.
The basic idea is instead of reworking all the things, let’s fix some of the most basic transparency and election aspects of our representative system. The above would be much less invasive than the OP, some of them might actually be implementable, and they would have very wide ranging effects that IMO are a lot easier to reason about.