I’d say US healthcare is toxic, and behaves despicably toward those in its care. It’s also inefficient and often counterproductive.

All of this is a result of stupidity and evil, coming both from outside the industry, as well as perpetually generated by the already-ill structure of the industry.

It warps the minds of those who join it, as customers, providers, and regulators. We’re all like software devs loyal to the terrible architecture of a bad codebase due to having to adapt to it to get anything done.

Fucked up systems fuck people up.

Nope. It's consequential. They need to raise their shareholder value in any way that's legal, even if it's not morally right. If they won't do that, they'd get into trouble. For corporations tax loopholes are there to be exploited.

Making those loopholes illegal is what will fix this. Then you can call it good craftsmanship by politicians. Right now you can barley call it shoddy.