Minor Thoughts from me to you

Complex Systems, Part II

Complex Systems, Part II →

John Goodman finishes his analysis of complex systems. This time, he considers the policy implications of the fact that healthcare is a complex system.

  • Complex Systems Cannot Be Managed from the Top, Down
  • The Core Components of Complex Systems Cannot Be Copied
  • Choosing Public Policies for Complex Systems
  • Public Policy Lessons

Most people in health policy do not understand complex systems. They really don’t understand social science models either. As a result, when they advocate or enact public policies, they are almost always oblivious to the inevitability of unintended consequences. The idea that a policy based on good intentions could actually make things worse is beyond their comprehension.

Speaking as someone who works in healthcare: yup. Every time healthcare people get together in large numbers, I see the belief that they can figure out a master plan, using the power of good intentions to make everything better. (Usually, of course, without using any evil profits either.)