> Personally, I'd like to see a more "fail fast" type system for a lot of social programs. Run it, see what happens ... then make the call if it goes any further. But that would mean people would have to start up programs fast, and shut them down fast. Both are not easy.

My partner does exactly this with healthcare in BC. They spin up a project to trial, say, allowing nurses to prescribe methadone directly, or even for patients just to get it directly. They measure costs, patient outcomes, etc etc. After a set time get patient, doctor and nurse feedback.

Looks good? Great, roll it out to the whole province and hurry up about it.

They’re running 50+ of them continuously. Constant improvement is awesome.