This is the eBook version of the printed book. This Element is an excerpt from Overhauling America's Healthcare Machine: Stop the Bleeding and Save Trillions (9780132173254) by Douglas A. Perednia. Available in print and digital formats. How to start simplifying the U.S. healthcare system - so it will work better, cost less, and keep us healthier One guiding principle for building efficient, stable systems is to simplify. No engineer would build a machine with more parts than required-especially moving parts that stress the entire machine simply by existing. Why does our healthcare system have so many parts? Which are most troublesome? How can they be removed-or if they can't be removed, how might we mitigate their impact?