Grahame Grieve wrote:
> 
>> Decision-makers need to study evidence, not words.
> 
> Evidence is just more words. And the key
> issue is how to discern them.
> 
> Standards are necessarily competing - that allows
> market forces to work.
> 
I expect Graham was grinning and pulling Tom's leg a bit when he wrote 
this about
evidence and market forces, so don't take my further thought, here, too 
seriously.

- as one of my heroes, Richard Feynmann, once said, you can prove 
anything by analogy...

But, in a week when world financial systems are being placed on hugely 
costly life support,
on the edge of market collapse, Graham's thought about market forces 
made me think a bit, too,
about an analogy of information standards as currencies and the wider 
collapse of confidence in information systems which we seem to be 
heading towards.

It's important to sustain some focus on learning, practically and 
experimentally (evidentially), about making information systems that 
work.  The hundred page documents on interoperability, doing the rounds, 
are derivative products of a kind, adducing rather little direct 
evidence of what is needed and what will work, in everyday health care 
contexts.

Sadly, too much money ploughed into derivative markets has tended to 
undermine practical governance of underlying, more practical, markets 
which were, once upon a time, more the real deal.

The good thing is, in the case of money, it's only money! In the case of 
health, it's health and well-being, which matter or will matter, a bit 
more, to all of us.

David I


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