I'm T1 diabetic, and it took me a long time to find an endo and a PCP that care. I have long since moved away from their offices, but I still make the drive because they are worth it.
My tip on finding good providers is basically to get lucky and find a good one. Then you should ask who they recommend. They know who the bad ones are.
Billions of people care. And if you bother looking for them, you’ll find them. Most of the problems he describes result from complex systems being challenging and individuals having limited ability both to comprehend and influence them.
And no I don’t mean “this software module is complex” complex. I mean, “this social problem has hundreds of interacting incentives, changing any of them in isolation makes things worse, and it will take years and millions of dollars to change things, all while political winds of change are trying to blow down the consensus to tackle the problem.”