“Last century’s paradigm of treating disease no longer works because the context of illness has changed.”
Our health-care system is complex. Because it is human made, its behaviour can be changed by intervening at specific leverage points or spots of influence. Some leverage points are weak because changes resulting from the intervention don’t make much difference; others are strong because they transform how the system works. Unless we choose different and more powerful points of influence, our health-care system will continue to be stuck in the status quo.
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