@mattrmd You're right -- The first step in fixing these problems starts with being honest and logical.
If we see constraints limiting our output, it's not smart to add more constraints. Yet we do it every year with more regulation and bad software.
I think we are exhibiting a major case of sunk cost fallacy in healthcare. For the most part, the $3 Trillion economy healthcare operates in has been an experiment for the past 100 years. While we're getting further off track each year, we continue the same irrational behavior because of the time, effort, & capital already sunk is the broken system.
Sometimes we've got to wise up and cut our losses.