As I write this, medicine is still “In the Wilderness,” but I can see a brightening horizon. We still need to formulate a counter to the nihilism of Postmodernism and Critical Theory. We still need to re-establish free speech and intellectual freedom in healthcare delivery and education. We still need to raise truth above ideology. But I now think that is a possibility.
The size of resource system - a moderate territorial size is most conducive to self-organization.
The productivity of system - self-organization is less likely to work if a resource is either overabundant or already exhausted.
The predictability of system dynamics - for example, some fishery systems approach mathematical chaos, making self-organization infeasible.
Build responsibility for governing the common resource in nested tiers from the lowest level up to the entire interconnected system.
If healthcare is viewed as a Common Pool Resource and a truly Complex Adaptive System, the methodology of Ostrom has a high likelihood of producing the necessary constructive adaptation to the internal and external stresses seen in healthcare today.
The interaction of the system and the agents was heavily tipped towards the system.
Under the Cynefin Framework, what was in reality a Complex System operating under emergent order was pushed into a merely Complicated System with imposed order.
https://brownstone.org/articles/the-complexity-science-of-medicine-requires-freedom/
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