To be clear, my central point is that people cannot differentiate between the exceedingly low risks with cost and real risks that should be addressed. I'll dress your points on the medical area because it's the area that I'm most passionate about and think I'm the most informed. I'm not talking about medical checklist s. I'm talking about increased licensure. An example would be pushes to increase the academic training of nurses. Nurses with four-year degrees marginally better outcomes than nurses with two your degrees. That face all you that sounds like people will get better care. What's not discussed is that this means nurses are more expensive so hospitals have less nurses. Another example is mini drugs that are over-the-counter in most countries require a prescription in the US. At face value of this sounds safer is it allegedly reduces misuse. However, it adds hundreds of dollars in cost for a doctor's visit to get a $5 pill that means many people that need it won't get it.

I certainly agree that governmental gridlock and dysfunction exist. However, that alone doesn't explain why large infrastructure projects like rail cost $5 to 10x more in the US when they do make it through the process. Infrastructure projects have vastly higher headcount then even in the EU. You have paid professionals whose job it is to make sure that Builders don't step on endangered animals. This obsession with preventing the risk ignores the fact that it would be both cheaper and better for the animals assume some will die and spend part of the money you would be paying to prevent that on actually helping them.