No Corporate Sector Does A Better Job Masking Dysfunction And Profiteering Than Healthcare

charleshughsmith |  Unbeknownst to most Americans, many core systems are already in the first stages of collapse. No corporate sector does a better job of masking dysfunction and profiteering than healthcare, and so the collapse of healthcare systems will surprise everyone who swallowed the sector's glossy PR. 

Though 2020 is widely perceived as "the worst year ever," it was only a snack. The real banquet of consequences will be served in 2021. The reason 2020 was only a snack is that systems didn't break down in 2020. The reason 2021 is the main course is that systems will break down, and once broken, they cannot be restored.  Systems have numerous sources of potential fragility:

1. Systems can be tightly bound to other fragile systems, setting up the potential for a domino-like cascading collapse that starts with one system failure that then brings down every connected, interdependent system.

2. Systems can be hollowed out by self-interested insiders who mistakenly believe the system can survive endless looting.

3. Systems can be weakened by perverse incentives that provide strong incentives to under-invest in core functions and divert revenues to profiteering and extraction (stock buybacks, bonuses to managers, etc.)

4. Systems can appear robust to casual observers because insiders cloak the decay of function, accountability and transparency.

5. The decline of functionality / results can be hidden by bureaucratic obscurity (accounting statements in which all the important information is buried in footnotes starting on page 217, etc.) and by complexity thickets that reduce accountability to near-zero: no one is responsible for the decay of function, accountability and transparency.

6. Process replaces results as the Prime Directive of the system. Devoting resources to following processes rather than to getting results generates an illusion of functionality even as the ability to evolve and adapt is lost.

7. Buffers that enabled effective responses to crisis are stripped to the bone as redundancy and resilience are discounted as "hurting profits" or "needless expenses."

8. Insiders and the public / customers wrongly assume money can solve all of these systemic frailties. But money cannot buy trust, competence, institutional depth, productive incentives or anything else that is essential to robust, anti-fragile systems.

Americans are unprepared for the collapse of core systems. The secular faith holds that corporate ownership of core systems, centralized state control and the relentless pursuit of infinite greed will magically manifest the best of all possible worlds because self-enrichment by any means available is what perfects systems.