You're not sitting in traffic, you are the traffic
Godin's line about traffic is a claim about participation: joining a system changes it, one way or the other. He extends it to healthcare, arguing the US does not have a health system but a treatment system, because everyone in it is rewarded for delivering treatments rather than for making you healthy. Systems also push back on anyone who steps outside where they were assigned.
- Systems are collections of people acting in ways no individual member would choose
- US healthcare rewards treatment, not health, so tests and bills multiply
- When someone leaves their assigned spot, a feedback loop pushes them back
- You probably cannot change a system alone, and fighting it takes a lot of kindling
- Participating makes the system stronger whether you intend it or not
“Systems aren't people, they are collections of people, and they act in ways that maybe the people who started the system wouldn't choose.”
“It's not a health care system, it's a treatment system, because everyone in the system gets rewarded for giving treatments, not for making you healthy.”