Healthcare
More Providers. Transparent prices. Better care.
Let’s be honest. American healthcare is a massive, convoluted mess. It often feels like the system was designed to be complex on purpose. In many ways, it was.
That complexity is a feature for the middlemen, but it is a bug for the rest of us. We spend nearly twice as much per person as other developed nations, consuming more than 18% of our total GDP, yet we have lower life expectancy and higher rates of chronic disease.
When a system is paralyzed by red tape and staffing shortages, it cannot deliver affordable care. Healthcare solutions often focus on the insurance side, but first, we must repair the administrative friction and address the supply constraints to achieve the lower costs we all need.
The below proposals are not dogma. As an engineer, I am not married to a specific mechanism, only to the outcome. These are ideas to be tested and fleshed out. I am open to any evidence-based solution that respects our values and delivers real results.
We are paying for emergency failure rather than preventative maintenance.
BUREAUCRACY TAX
We are burning billions on armies of administrators fighting over who pays the bill. The U.S. pays double the administrative costs of other nations for labor that produces zero health outcomes. We must cut this friction by implementing a federal Healthcare Automated Clearinghouse to process claims instantly, mimicking the efficiency of the banking sector.¹ Simultaneously, we must enforce strict data interoperability standards known as FHIR (Fast Healthcare Interoperability Resources). This acts as a universal language for medical records, allowing us to finally eliminate the manual data entry and fax machines that clog every doctor's office in America.²
Supported by the Medical Group Management Association (MGMA)
Supported by the American Medical Association (AMA)
ARTIFICIAL SCARCITY
Cutting red tape is useless if there is no one to treat you. We must surge the workforce by lifting the 1997 residency cap to flood the market with new doctors¹ and pass the Healthcare Workforce Resilience Act to recapture unused visas.² We must allow Nurse Practitioners to practice at the full extent of their training³ and repeal protectionist Certificate of Need (CON) laws that stop new, lower-cost clinics from opening.⁴ Finally, National Telehealth Reciprocity ensures you can access these providers from anywhere, drastically expanding access to specialists for our rural communities.⁵
Supported by the American Medical Association (AMA)
Supported by the American Medical Association (AMA), American Hospital Association (AHA) and National Rural Health Association (NRHA)
Supported by the American Association of Nurse Practitioners (AANP)
Supported by the American Medical Association (AMA)
Supported by the American Telemedicine Association (ATA)
SYSTEM TRANSPARENCY
We must strictly enforce federal Price Transparency rules. A clear cash price for every non-emergency service enables market effects to lower prices.¹ Pharmacy Benefit Managers (PBMs) currently negotiate lower fees for prescriptions and pocket the difference. 100% of these discounts must be passed to the patient and PBMs should only collect a fixed fee.² Finally we must enact Site Neutral Payments to stop the consolidation of local clinics. If the service is the same the price must be the same.³
Supported by PatientRightsAdvocate.org and Association of American Physicians and Surgeons (AAPS)
Supported by the American Medical Association (AMA)
Supported by the American Academy of Family Physicians (AAFP)
These are not just theories. We have evidence that these solutions work. When we remove the bureaucracy and restore market forces, the patient wins.
Middlemen are the inflation. Mark Cuban proved it by selling generic leukemia drugs for $47 a month simply by cutting out the bureaucracy. Insurers list the exact same medication for over $9,000. The drug is the same, the only difference is the greed.
When providers compete, prices crash. The Surgery Center of Oklahoma posts its prices online, charging $15,000 for a complex knee replacement. Major hospitals hide behind opaque billing codes to charge $50,000+ for the exact same procedure.
Markets work where bureaucracy fails. LASIK is the only medical procedure that has dropped 50% in price over 20 years while technology skyrocketed. Why? Because insurance doesn't cover it. Providers must compete for your business to survive.
But there is more work to be done. Research by McKinsey & Company estimates that using AI to optimize claims processing could save the U.S. healthcare system $360 billion annually.
On January 1st, 2026, Centers for Medicare & Medicaid Services (CMS) launched the Wasteful and Inappropriate Service Reduction (WISeR) Model to capture these savings, with Washington State being one of the initial test states.
The goal is right, but the execution is flawed. Vendors are paid a percentage of the money they “save” by denying claims.
This moment reveals a fundamental difference in how I approach governance.
The Politician
Suzan DelBene, the incumbent, saw a flawed pilot and reacted with fear. Instead of proposing a fix, she introduced legislation to kill the program entirely. She offered no alternative solution to capture the savings. She simply wants to cut the program, leaving us right back where we started, with a broken, expensive system and zero progress.
The Engineer
An engineer works with experts to solve problems. The American Hospital Association proposed fixes: pay vendors a flat fee to remove the denial incentive, use standard APIs to cut paperwork, and mandate doctor review for safety.
I iterate on solutions. I don’t kill progress.
The Affordable Care Act & The Future
The Affordable Care Act (Obamacare) is the law of the land. Yet instead of fixing its flaws, the recently passed One Big Beautiful Bill Act (OBBBA) has gutted critical funding. The Congressional Budget Office estimates that 10 to 12 million Americans will lose their health insurance due to these cuts.
Kicking millions of people off their insurance is not a strategy. It is a disaster. When people lose coverage they delay care until it becomes an emergency which costs us all ten times more.
By implementing supply and transparency solutions similar to those outlined above, we lower the actual unit cost of care. When the price of care falls, premiums drop and the friction to expand coverage diminishes. This is how we achieve a sustainable system.
We must harness the power of technology responsibly. It is powerful and carries risk, which is why we need modern leaders to guide the technological revolution for the benefit of all. We must move forward, not backward.
The solutions outlined above are only the beginning. I’m open to any evidence-based solution that improves outcomes. All options must be on the table to solve America’s healthcare crisis.