First thing that comes to mind - What does "World's Greatest Healthcare" mean to you?

[usonian]

9. Here's a start.

All patients get a regular full scan, detecting tiny problems before they become major ones, tricorder or not. Whatever is the most thorough technology, not the cheapest.

This way, the front line practitioners are also the smartest, not just doing educated guesswork out of cheat sheets, or otherwise misdiagnosing serious illnesses as colds or ingrown toenails.

This is an enormous preventive step. Problems are caught and cured immediately and not when they are life-threatening and expensive.

Medical care and pharmaceuticals are free and universally available, subsidized by expensive cosmetic surgery and life-extension hacks on the rich (BTW, the life extension stuff doesn't work, but, for the large sums, freeze the rich. WTF)

Health care software to be entirely open source, not opaque and understood only by a few individuals.
Being open source, it:

• Is open to scrutiny by thousands of security experts, who catch bugs before bad guys or a bunch of in-house and overworked software engineers can.
• is interoperable with other health care systems
• avoids lock-in, since underlying database designs are open to migration and not a big lock-in tactic, and may even be a common design.

Pharmaceutical and other medicines are developed in a not for profit manner, and results shared, disincentivizing ripoff pricing to recoup R&D that many others are doing in parallel, trying to beat each other to the shelves. It also disincentivizes lies.

Medical education is free or even paid for, to incentivize the public benefit rather than trying to recoup the expenses by overcharging or fraud
(have you heard of any such incidents. lately? I sure have)

Use of AI is strictly isolated to proven uses, and every single result is scrutinized for accuracy by a highly competent human.

Accuracy is incentivized over "efficiency"

Quacks like Dr. Oz, Joe Mercola and Doctor Demento RFK Jr. are sent on a deep-space mission. With provisions for two weeks.



Well, I am sure there are more, but this is a good starting point.
If nothing else, the first item.
The front-line person needs to be the smartest (aided by good technology) not the cheapest.



P.S. I wrote a strategic plan for a hospital that was made into a very fine paper plane.