The Reform Agenda · Layer 2 of three · what should happen · site record current through
The Reform Agenda
The record says what changed. This says what is wrong with it, what should replace it, and in what words — drafted so a legislator, a regulator or a board could use it, and labelled so nobody could mistake it for law.
New · 31 August 2026
Legislator Briefs
Every published proposal now also exists as a one-page brief for a legislative or agency office: issue, current law, policy gap, recommendation, who has authority to act, cost, stakeholder effect, a trade-off matrix, four policy options with the preferred one marked, success metrics, the five-physician-practice test, and the next decision point. Print-clean, and labelled as a proposal on every surface.
Three layers, and the rule that keeps them apart
1 · The record
What happened
Primary authority, one lifecycle state per record. Unchanged and still the foundation: the desk, enforcement, litigation, legislation.
2 · The reform agenda
What should happen
KPSGILL positions, model statutory and regulatory language, model board guidance, comment proposals, litigation questions. Labelled as proposals on every surface.
3 · The future of medicine
What is likely to happen
Forecasts and scenarios, each with stated confidence, stated assumptions, and a competing scenario. A forecast without a competing scenario is a defect.
The publication spent its first stage answering one question well: what changed, stated exactly, with the instrument and the primary source. That function does not move. What is added here is the second and third question — what is structurally wrong, and what should replace it — carried in objects that can never be mistaken for a statement of law.
The discipline is the same one the record layer already runs on. A proposal names the problem, cites the documentary baseline it rests on, states the recommendation, drafts the actual language, and then states the strongest argument against itself. A proposal with no opposition section is unfinished, not persuasive.
The agenda, by domain
What is published now
Swipe the table sideways for the remaining columns
The Policy Lab holds the template every one of these is built on, and the queue of domains where the documentary record is strong enough to support a position but none has been drafted yet.