So about 5-6 years to do this … It took 4 years between the time the ACA was enacted and the time it was implemented, and when it launched, the software enrollment system was a total disaster. Oregon’s exchange spent nearly $1/2 billion but never enrolled anyone before being shut down.

But … of course, we can cut health care carbon emissions in half by 2030!

During the first months of the pandemic, the medical community united at a historic pace, rapidly sharing information, redesigning models of care, conserving and innovating resources, and moving towards a circular economy. In comparison, the task of transforming healthcare culture and practice to halve healthcare emissions by 2030 as recommended by the Intergovernmental Panel on Climate Change1 seems entirely feasible.

Net zero healthcare: a call for clinician action | The BMJ

Furthermore, health care must redesign all of society:

This includes identifying and targeting underserved groups, moving beyond treating the results of ethnic and economic disparities and seeking to tackle the root cause of inequities by building community wealth (the “anchor mission”).

Clearly, we must be a technocratie elite in charge of all of society, to make the “correct” decisions for everyone. This is the way!

The only way to cut health care’s carbon emissions in half by 2030 is to stop providing health care, and/or, kill off the elderly. The idea we will completely redesign health care – and society since the authors say we need to do that too – within about five years is insane. And these are the elite who think they should be in charge!

Coldstreams