One effect of this is that information is lost along the "patient's journey" and if you aren't well enough to advocate for yourself OR have a family member do it for you, you'll be moved along from station to station in an assembly line process that can *never* see you as a whole
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Specific point on the materiality of "seeing like a state" theory applied to pandemics: microbes are *by definition* impossible to see without a microscope. It's literally an org battling microscopic realities that macro-humans present at best via confusing emergence.
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This feature is shared in other orgs that are oriented around microscopic realities. At Xerox it took me a long time to realize that the entire company was oriented around the micro-properties of toner, which isn't obviously the key element when you look at photocopier machines.
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Another example is silicon/microprocessor industry. Takes at least a year to wire your head around the sub-14-nm scale mental models of lithography.
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Seeing Like a State, Microscopy Edition. There's also Seeing Like a State, Telescopy edition, which I encountered during PhD work on NASA's interferometric telescopes program. Wrapping head around lightyears/thousands of kilometers as baselines. But I digress...
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End of conversation
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civilised countries just have GPs do heaps of the stuff that specialists do in America. EG a kid wont see a paediatrician in NZ unless he gets escalated by a GP.
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