People often ask me what I would change in medicine, and everybody has some things they would like to see change, and none of us has all the answers.

I do think that doing too much too quickly in health care with great overhauls are ultimately unrealistic political nightmares.

Yes, you and I have a lot of opinions, maybe about pharmaceutical pricing,

quality payments, but that stuff has too many complexities and conflicts of interest to keep it simple.

Don't trust anyone who has oversimplified answers to huge problems. So let's tackle very specific topics with identifiable solutions.

The things that seem like a no-brainer, at least to me, the stuff where I bet more than 90%

of people agree on the principles that we could actually change tomorrow if the will became

strong enough. Some of these items help patients, other help folks employed

in health care, but ultimately, whenever a group of people are doing better, we all do better,

meaning if a patient feels they have been treated well by the health care system,

interactions with clinicians and nurses will be more pleasant going forward.

And who doesn't like pleasant experiences?

Not to mention that everybody in health care is also a patient at some point.

So I'm going to try and keep my asks relatively short because I don't want to be too greedy and ask too much or ask for anything that's too complicated.

And by the way, if you know any senators or congressman,

please share this episode or at least the suggestions with them if you believe in them.

So I think the thing that I would like to first get specific about is talking about the charge master,

but ultimately what happens with it. So healthcare institutions need to publicly publish their

charge master, which is the list of costs of what they charge. While that seems simple enough,

that actually is not even my ask on this round for what I want change, meaning I think all healthcare

institutions should be forced to publicly publish or charge master.

They don't.

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