What came to mind when I read your comments were some complaints I've had that relate to the "looking for the keys under the streetlight" fallacy. There are intuitions and anecdotes we can have about the unknowns, which is the best we can do about many things in the present, until they can be measured and tested. A problem I see often is there are people who believe that if it can't be measured, it's not part of reality. I find that the unknowns can be a very important part of working with reality successfully, and that what can be measured in the present can end up being not that significant. It depends on what you're looking for.

As Kay and I have discussed here, efficiency is not irrelevant, but we agree it's not the only significant factor in a system that we all hope will produce the wealth needed for societal progress. What seems to be needed is some knowledge and ethics re. the wealth of society, ideally enacted voluntarily, as in the philanthropic efforts of Carnegie, and similar efforts.

I happened to watch a bit of Ken Burns's doc. on the Vietnam War, and I was reminded that McNamara was a man of metrics. He wanted data on anything and everything that was happening to our forces, and that of the Viet Cong. He got reams of it, but there were people who asked, "Are we winning the hearts and minds?" There were no metrics on that. We didn't have a way to measure it, so the question was considered irrelevant. The best that could've been done was to get honest opinions from commanders in the field, who understood the war they were fighting, and were interacting with the civilian population, if people were willing to listen to that. In a guerrilla war, which is what that was, "hearts and minds" was one of the most important factors. Most of the rest could've been noise.

I dovetail with your complaint about focus on the economy in policy, but for me, it's philosophical: It's not the government's job to be worrying about that so much. If you look at the Constitution, it doesn't say a thing about "shall maintain a prosperous economy," or, "shall ensure an equitable economy," or any of that. Sure, people want enough wealth to go around, but it's up to us to negotiate how that happens, not the government. I think unfortunately, politicians and voters, no matter their political stripe, have lost track of what the government's job is. I think, broadly, we treat it like an insurer, or banker of last resort. If things don't seem to work out the way we'd like, we appeal to government to magically make us whole (including economically). That's really missing the point of it.

I could go into a whole thing about the medical system (I won't), but I'll say from the research I've done on it (which probably is not the best, but I made an effort of it), it is one of the most tragic things I've seen, because it is grossly distorted from what it could be, but this is because we're not respecting its function. As you've surmised with globalization, it's been set up this way by some interested people. It's a choice. I see a big knowledge problem with what's been done to it for decades. Doesn't it figure that people interested in healing people should be figuring out how to do it, to serve the most people who need their help, rather than people who have no idea how to do that thinking they should tell them how to do it? This relates back to your proposition about scientific research. Shouldn't research be left to people who know how to do that, rather than people who don't trying to micromanage how you do it? I think we'd be better off if people had a sense of understanding the limits of their own knowledge. I don't know what it is that has people thinking otherwise. The best term I can come up for it is "hubris." Perhaps the more accurate diagnosis, as Kay was saying, is fear. It makes sense that that can cause people to put their nose in deeper than where it should be, but it's like a horde panicking around someone who's collapsed from cardiac arrest, which doesn't have the good sense to give someone who knows CPR some room, and then to allow medical personnel in, once they show up.

It's looked to me like a feedback loop, and I shudder to think about where it will end up, but I feel pretty powerless to stop the process at the moment. I made some efforts in that direction, only to discover I have no idea what I'm really dealing with. So, with some regret, I've followed Sagan's advice ("Don't waste neurons on what doesn't work."), left it alone, and directed my energy into areas I love, where I hope to make a meaningful contribution someday. The experience of the former has given me an interest in listening to scientists who have studied people, what they're really like. It seems like something I need to get past is what Jon Haidt has called the "rationalist delusion," particularly the idea that rational thought alone can change minds. Not so.