Re: [FRIAM] Health Bill Summary

[Russell Gonnering]

Does anyone else find is strange that two 2,000 page bills, which nobody seems to understand, have been put forward to deal with health care, which is the ultimate Complex Adaptive System?  It strikes me as the antithesis of what was done in "Boids" to produce the flocking/schooling behavior of animals with three simple principles. David Snowden (www.cognitive-edge.com) developed the Cynefin Matrix to guide decision making based upon cause/effect.  The imposed order of these health care bills are appropriate for simple systems, or possibly even complicated systems.  However, when such an attempt is made to impose order on a complex adaptive system, it pushes the system into chaos. This will be an interesting, though extremely costly, experiment to test his hypothesis prospectively. Russ Gonnering Russell S. Gonnering, MD, FACS, MMM, CPHQ rsgonneri...@mac.com On Dec 24, 2009, at 3:09 PM, John Kennison wrote: There is much I don't like about the two healthcare bills, and I fear that the compromise package will not work well (Compromises that make good sense politically  often fail to make sense economically --as in the cartoon of two congressmen making a deal: "Okay, then it's agreed, I'll vote for your appropriation bill and you'll support my tax cut.") But working through states might be a good idea. Maybe one state will find an effective way to manage the insurers and other states will copy. ________________________________________ From: friam-boun...@redfish.com [friam-boun...@redfish.com] On Behalf Of Owen Densmore [o...@backspaces.net] Sent: Thursday, December 24, 2009 12:26 PM To: The Friday Morning Applied Complexity Coffee Group Subject: [FRIAM] Health Bill Summary Given that the just-passed health bill is huge, I went looking for a summary.  This appears reasonably complete, at least in the aims of the bill:   http://energycommerce.house.gov/Press_111/20090714/hr3200_summary.pdf Any other good summary appreciated! One question: does anyone understand why health insurance is state- based?  I.e. if you move to a new state, you have to get new insurance based on that state's insurance providers, and not all providers sell in particular states.     -- Owen ============================================================ FRIAM Applied Complexity Group listserv Meets Fridays 9a-11:30 at cafe at St. John's College lectures, archives, unsubscribe, maps at http://www.friam.org ============================================================ FRIAM Applied Complexity Group listserv Meets Fridays 9a-11:30 at cafe at St. John's College lectures, archives, unsubscribe, maps at http://www.friam.org Russell S. Gonnering, MD, FACS, MMM, CPHQ rsgonneri...@mac.com

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