Coffee With Scott Adams — Knowledge Archive August 24, 2026
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just by connecting people to the very, very hard to find solution, I may have cured I don't know fifty people, a hundred, I don't know. But I do hear from a lot of people who heard about it from me and have gone through with some kind of surgery. So I just want to say there are very few things that feel better than knowing that years ago you were chanting a specific, literally impossible seeming…

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But I am one stubborn mofo. If there's one thing you could take away from me, you know one thing that you in my own, this is my own opinion of myself, the one thing that defines me is I don't like to lose and I don't like to be told I can't do something. And it's motivating as all hell. And even when it's like really, really bad stuff like the voice problem was, I just get more motivated. So that's just me.

Anyway, here's what to look for in the coming year. As if you've been watching these Periscopes and watching me for a while you probably know that I can be influential. I write about influence. I'm a trained hypnotist, etc. And many of you have noticed this. Some of the things I talk about seep into the common consciousness. Maybe directly, maybe it's coincidence, maybe it's confirmation bias. It's always hard to tell. But we're going to continue our ongoing process of influencing the world, yeah, in positive ways.

So I want to tell you what influence I'm going to focus on for 2020 so that you can watch how things look today. You know, just take a mental snapshot and then do it again at the end of 2020 and ask yourself if the things that I tried to influence look like they're different now. That doesn't mean I'm the one who influenced them but it's fun so you can follow along.

So here are the things I would like to accomplish. In a perfect world I would like to see Democrats and Republicans agree on this: that a hundred percent health care coverage, whether let's call that insurance or just health care, is a goal. And I think that the Republicans fail big time in their persuasion on health care. They really fail big by not saying it is also our goal to cover 100 percent of the people. We want to do it a different way. Now explain what that is. Because I don't think the case has been made.

And if you're not going to make the case, Republicans, that you do want to cover a hundred percent of the people in this country, you just can't take a moral high position. You just can't. You're just going to have to admit that the Democrats are better at this, more morally bounded, more biblically bounded in every way. They have an advantage. And if you want to give them the advantage, go ahead. But it's gonna cost. It's gonna cost in Congress. It's gonna cost those to the presidency.

So what I'd like to see is a Republican full-throated statement that you want to get to a hundred percent coverage. Maybe you say it at the same time you say you don't know how to do it. Because here's the second part. The second part is I would love to see the commitment to get there followed by, here's the good part. You ready? The good part is a public debate about how to get there. Not a political debate. Not a debate of pundit against pundit, lobbyists against politician, politician against politician. Don't care. None of that is gonna fix anything. We've done that to death.

Here's what we need in my perfect world. President Trump would say something like this: Democrats, there's one place we agree on. Everybody needs health care. We don't know how to get there. You've got several plans just within the Democrat side. Republicans have lots of ideas too. Let's have a national debate. A national debate where actual experts and individuals could propose ideas and debate it out in some very transparent way without the politicians. Like just let's just let the experts battle it out. Make it a show. Turn it into entertainment. Turn it into a website. Turn it into a contest. Turn it into something that makes more attention.

And then if you can get some kind of a national consensus on the best approach, and you probably can't, maybe you can get it down to the top three. But you should let the public do what the government apparently cannot do. And the reason the government cannot do this is that as soon as the politicians get involved you have no first problem. They don't know enough. Politicians are not the experts on health care and you really need smart people to know enough about that area. It's just not a realm for politicians. They wouldn't know how to handle it.

And then you add on top of that the political pressures on them and then you know the lobbyists and the money. And you have a mechanism, a system if you will, that can't work. So remember I talked about the Golden Age which we're entering being a time when we don't have shortages of anything. We have systems that aren't perfect and as we fix our systems then everybody's going to get enough of everything.

So the system that's broken with healthcare is not, here's the trick, it's not the health care system that's broken although that's also broken. What's broken is our decision-making process. And because health care is so complicated and so much money involved it breaks our government. Our government was not designed to handle this kind of question. It's too big and there are too many people with too much money trying to influence it. The government's the wrong tool.

So you need a new tool. And as it happens we don't have to invent it so much. We just have to use the tools we have. A new system if you will. And that system is to get the government, now I'm sorry, to get the public directly involved and educated enough so that they can form some preferences based on what the experts put together. Maybe let's say three good packages and each of them subject to further tweaking.

But I think we should have a system where both the Congress and the United States, wait for the good part, here it comes, in which the Congress and the president commit in advance to two things. Having a full year of public, public, public debate on health care. Public, public, public meaning the public. Not

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the politicians behind closed doors, not the lobbyists. The public. That's the important part. Regular people, just experts, citizens, people who care. And try to get them over the next year to come up with their three best plans. It could be two Democrat plans, one Republican. It doesn't matter. But just the very best. And then commit in advance the Congress and the president to, let's say you d…

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