Pernicious anemia is one of the clearest cases in contemporary medicine where everything required for good outcomes exists — the diagnostic tools, the treatment, the evidence base — and the outcomes remain poor anyway. The gap between what medicine knows and what medicine does is not a gap in knowledge.
Maybe the Two-Party System Is a Root of Wealth Extraction
The U.S. two-party system may do more than organize elections. Its donor structure, electoral rules, and polarization dynamics may also help sustain policies that concentrate wealth.