The common public policy discourse follows a common pattern of One-Damned-Thing-After-Another, where events trigger attention and emotion, followed by a sense that Something Must be Done, followed by advocacy to follow principles, followed by attention moving to the next event. Doing better requires following a methodology that focuses on priorities, recognizing varied perspectives and intents, identifying what must be known rather than what steps to take, and creating self-correcting feedback loops.
Much of our public policy discourse follows a recurring pattern of event-attention-outrage-advocacy-distracting event-repeat. We learn best through stories, but anecdotes lead us astray.
Fixing healthcare requires more than advocating single-payer on the one hand or trusting market forces on the other.
Nudging domains towards preferred outcomes depends on drawing the domain boundaries appropriately. In many cases we focus too narrowly.