The ability to look forward and visualize the future is a very good skill to have. To excel in that skill, one needs to understand deeply how the present works. It takes time to do that. Talking to experts, consuming lots of written information, performing targeted searches and experiencing something by oneself are some of the ways that one can gain insight into the present. Without a great understanding of the present, it is hard to think about the future and even harder to come to a reasonable assessment of how to change it.
So, we should understand the present in as much detail as one can. If we are going to change the healthcare system, we need to understand the nuances, the details, the player and the ecosystem.
One may say, “Screw it. I know that the present system is a failure, so I am just going to invent a future that will be a success”. Fair enough, but that is a limiting factor. Only by accumulating a wealth of knowledge on a domain, does one get the tools and the skills to change that domain. You may ask “What about the 20 year old’s who are inventing Lidar systems and becoming billionaires?”. The secret is that they recruited experts in photonics to make it happen. You can also collaborate with expertise to up your game.