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The more interconnected the greater the energy required to change from the groundup but trivial to change at the top (submit in this format or no payment)
by wolco 8y ago
The more interconnected the greater the energy required to change from the groundup but trivial to change at the top (submit in this format or no payment)
- quanticle 8y agoExcept that health care has no "top". If an insurance company tried to unilaterally impose a new standard, they'd quickly lose support among hospitals, and then they'd lose their subscribers shortly thereafter.
- PeterisP 8y agoWith a [mostly-]single-payer system (i.e. pretty much everywhere in the world except the US) there is a clearly defined "top" that can unilaterally require particular standards for e.g. electronic health records. Also, for USA, legal requirements (such as HIPAA) are universal and can impose certain standards on the whole industry, as long as there's political will to do so.