Healthcare is one example. Wall Street is one example. Food policy is one example. The pattern is the same in all of them.
**Comp and culture.** Pay per call and you get calls, not customers. Pay per ticket closed and you get closed tickets, not solved problems. Pay per paper and you get papers, not knowledge.
**Healthcare in one paragraph.** Fee-for-service pays per procedure, not per outcome. Insurance pays per denial avoided, not per life improved. Pharma is paid for chronicity, not cure. The U.S. spends $14,885 per person and ranks last on outcomes among high-income peers. That is not a failure of effort. It is a successful execution of the incentive.
**Food, markets, media.** Federal subsidies make the calories that drive metabolic disease the cheapest at every checkout. Quarterly EPS pulls capital out of R&D and into buybacks. Engagement-maximizing media monetizes outrage because outrage is the cheapest emotion to manufacture. Different industries, identical anatomy.
At org and sector scale, redesign the metric the comp plan and the regulator both report on. The behavior re-routes in 18 months.