Central Planners and the Conflict of Vision
The IPAB is but one of many symptoms of our growing reliance on an intellectual elite that is disabled by hubris and is driven by grand ideas in disregard of real evidence, to the detriment of society and good governance.
Planners and clipboard and checklist tyrants have contributed greatly to the dysfunction of the medical system. Artificial incentives and agenda driven “research” have helped create and perpetuate problems.
The vaccine against the central planning virus is local control by professionals who are accountable to their patients for actual results.
John Dale Dunn, M.D., J.D., serves as civilian contract faculty in emergency medicine at Carl R. Darnall Army Medical Center, Fort Hood, Texas. Contact:firstname.lastname@example.org.
(This article first appeared in the Winter 2011 edition of the Journal of the American Physicians and Surgeons.)