The core issue for many on the streets is not a lack of housing but severe addiction. By mislabeling it 'homelessness,' society builds an 'industrial complex' around providing services that enable addictive behavior instead of mandating effective treatment.
Large-scale healthcare fraud schemes, such as the explosion in hospice centers in Los Angeles, are not just domestic crimes. They are often sophisticated operations run by foreign nationals and organized crime with ties to foreign governments.
Recognizing that healthcare is a notoriously difficult market for startups, the administration is actively creating a favorable ecosystem. This includes providing funding, enforcing data sharing, and signaling a desire to work with private sector innovators.
Unlike typical consensus-driven politicians, Donald Trump is described as acting with the urgency of a startup founder, making decisions and taking action in real-time to solve problems, which accelerates policy execution.
Beyond legislation and rulemaking, the government can act as a neutral convener, bringing together competing industry players to negotiate solutions to complex problems like lowering drug prices, bypassing legislative gridlock and lengthy legal battles.
A counterintuitive finding in public health is that patients who regularly visit their doctor perceive themselves as sicker, yet are objectively healthier than those who avoid medical care. This highlights the danger of an "ignorance is bliss" mindset.
States are legally required to offer voter registration alongside welfare programs like Medicaid. This creates a political incentive to maximize enrollment, which can lead to lax oversight and a reluctance to investigate or prosecute fraud.
Shifting the perspective from healthcare as a cost to an investment in productivity reveals its true economic value. Dr. Oz calculates that enabling the average American to work just one year longer adds $3 trillion to the U.S. economy.
Instead of replacing doctors, AI will serve as a force multiplier for scarce General Practitioners. By automating paperwork and answering repetitive patient questions, AI frees doctors to focus on high-value human interaction and complex diagnosis.
The Trump administration's strategy for lowering drug prices involves creating credible threats to bring companies to the negotiating table. This forces concessions and removes excess profit without crippling the industry's vital R&D capabilities.
Electronic Health Record (EHR) companies have historically used proprietary formats to lock in customers. AI's ability to read and translate unstructured data from any source effectively breaks these data silos, finally making patient data truly portable.
By negotiating the price of weight-loss drugs from $1,200 down to ~$200, the administration expects a net positive ROI for the government within two years. The savings from preventing obesity-related chronic illnesses will outweigh the drug costs.
To combat waste, government agencies can adopt a 'zero-baseline' approach similar to Elon Musk canceling all corporate credit cards at Twitter. This forces all payees to re-justify their services, immediately exposing fraudulent or unnecessary auto-payments.
