Deconstructing US healthcare

angela madsen
2 min readSep 8, 2022

The brokenness of US healthcare is a complex, multifaceted system of prioritization, information, and decisions.

The people I talked to the most are those who have suffered from mystery or systemic illnesses, and my insights are honed by that frustrating experience. Some of the backend doings I filled in from stints working with healthcare and healthcare management consulting.

As much as I tried to be fair, I have lenses, informed by my primary tools: information architecture, cognitive behavior, and data. My primary lens is a deep seated humanism.

These writings do not comprehensively review everything impacting our healthcare. My focus was the provider-patient relationship and the forces that seem to have an outsized impact on it. It’s the part of the system where many individual voices can have more of an impact, more quickly.

Model of forces impacting the provider-patient relationship. Model from author analysis.
Model of forces impacting the provider-patient relationship. Model from author analysis.

The forces are intertwingled, and the below articles refer to or are referred in another in the series. If you only read one of these, I suggest reading the lynchpin, where I was able to list real effort potentials.

Lynchpin: One size does not fit all

History: The health care dialogue is not new

Reasonably likely behavioral underpinnings: The healthcare squeeze

The status quo: Increasing costs of healthcare, The US wealth narrative

Geeky joy: High level analysis of medical information architecture

Where it began: When an information architect goes searching for a health answer

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angela madsen

eternal work in progress. wrangler of data and empathy, understander of process, seeker of giggles.