My description was in broad strokes. I'm sure people smarter than me would figure it out. You problems with it are valid. Obviously it would way different from simple review sites. My point is that it's not impossibly to imagine a different non-monopoly way.

The "review" sites would likely be testing / study based. Just done by an series of independent groups. Not imagining some surveillance based system on patients.

Anyway, the market has a way of coming up with creative solutions to problems.

100% agree with you on the problem. Government is expected to fix stuff a different the idea of voting to fix stuff is pretty homeless. Not sure I'd single out gen x there though. Multiple generations have had this idea.