"We want to make sure that we incentivize the health care system to be designed to provide you the best quality health care possible"
About this Quote
Jarrett’s sentence is a masterclass in bureaucratic reassurance: it promises transformation while committing to almost nothing. The verb choice does the heavy lifting. “Incentivize” signals a market-friendly, technocratic approach to reform - not direct guarantees, not rights, not even “fund.” It smuggles in a worldview where systems behave like employees: change the bonus structure and outcomes will follow. That’s politically strategic in a country allergic to the idea of government “running” health care, but it also quietly concedes that care is already shaped by incentives that often point in the wrong direction.
The subtext is triangulation. By saying “we want to make sure,” she frames the speaker as a cautious steward, not a crusader. “Designed to provide you” is equally telling: it shifts the debate from messy human delivery (doctors, insurers, hospitals, billing) into the safer realm of “design,” where reform becomes an engineering problem. If the system can be properly redesigned, the conflicts - rationing, profits, price controls, unequal access - can be treated as solvable glitches rather than moral choices.
Context matters: Jarrett, as an Obama-era power broker, often spoke in the language of policy process rather than populist confrontation. The line reads like coalition glue, meant to keep moderates, industry players, and anxious voters inside the tent. It’s inclusive (“you”), aspirational (“best quality”), and conveniently non-committal about who pays, who loses revenue, and what “quality” will actually be measured against. That vagueness isn’t a flaw; it’s the point.
The subtext is triangulation. By saying “we want to make sure,” she frames the speaker as a cautious steward, not a crusader. “Designed to provide you” is equally telling: it shifts the debate from messy human delivery (doctors, insurers, hospitals, billing) into the safer realm of “design,” where reform becomes an engineering problem. If the system can be properly redesigned, the conflicts - rationing, profits, price controls, unequal access - can be treated as solvable glitches rather than moral choices.
Context matters: Jarrett, as an Obama-era power broker, often spoke in the language of policy process rather than populist confrontation. The line reads like coalition glue, meant to keep moderates, industry players, and anxious voters inside the tent. It’s inclusive (“you”), aspirational (“best quality”), and conveniently non-committal about who pays, who loses revenue, and what “quality” will actually be measured against. That vagueness isn’t a flaw; it’s the point.
Quote Details
| Topic | Health |
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