Mastery in poetry consists largely in the instinct for not ruining or smothering or tinkering with moments of vision.
...There is fascism , leading only into the blackness which it has chosen as its symbol, into smartness and yapping out of orders,and self-righteous brutality, into social as well as international war. It means change without hope. Our immediate duty- in that tinkering which is the only useful form of action in our leaky old tub-our immediate duty is to stop it.e. m. forster
The crucial point is that any system of health care must constitute a genuine strategy -ad hoc tinkering is a guaranteed road to disaster.