@SimonRDodds @amcunningham It certainly is sentient. Absolutely, it's the collective dynamic of millions of people, changing all the time
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Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham And how does it make decisions and convert those decisions into actions? In a realistic timescale?2 antwoorden 0 retweets 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham In a market each doctor..at least at consultant level, would have to show his outcomes to engage in a market1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham Why have a market? Every doctor could do that anyway. It would help them improve their service enormously. :-)2 antwoorden 0 retweets 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham Never mistake markets for funding care privately or by insurance. It needn't be that way at all1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham I don't. I also do not confuse politically motivated mass experimentation with robust system design.1 antwoord 1 retweet 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham Neither do I and we've had it for 65 years1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham Einstein said that the definition of madness was doing the same thing and expecting a different result.1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @SimonRDodds
@SimonRDodds@amcunningham As I said 65 years on and we still have neither a positive control or competitor, yet believe we're doing well1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@amcunningham I do not think many people in the NHS feel we are doing particularly well if A&E performance is any measure.3 antwoorden 0 retweets 0 vind-ik-leuks
@SimonRDodds @amcunningham The whole thing is overblown, having worked in A&E. Scrap the 4 hour, go back to triage and keep funding walk ins
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