Hi Billy, On Jan 10, 2012, at 9:46 AM, [email protected] wrote: > Once again, some really good ideas to agree with. But my caution is that > while, yes, "piecemeal social engineering" is usually the very best > alternative, > in some circumstances we may need more radical measures. > > That is, let's not foreclose our options by making too many absolutist > statements. Heath care reform, if done piecemeal, makes a lot of sense > while centrally planned health reform does not. However, as wasteful > and inefficient as the Department of Homeland Security is, in fact, > after 9 / 11 the last thing we needed was more piecemeal > national security programs, which was one reason for > the attacks upon us being successful.
Incremental != piecemeal. It is a really important difference. I completely agree we need systemic change in our health care system. But we need to do it *incrementally*. For example, have smaller states, corporations, and larger cities experiment with radical redesigns of how health care is paid for and delivered to see if our theories hold up before implementing them nationally. Have a phased rollout where we create opportunities for innovators, incentives for early adopters, encouragement for mainstream adopters, then finally threats for late adopters. *How* change is rolled out is often far more important than *what* is initially done, because "you are never stupider than at the very beginning of a project." E > -- Centroids: The Center of the Radical Centrist Community <[email protected]> Google Group: http://groups.google.com/group/RadicalCentrism Radical Centrism website and blog: http://RadicalCentrism.org
