Introduction: Beyond the Stable State—New Challenges and Directions for U.S. Health Policy Next Chapter

Thomas R. Oliver

In: Guide to U.S. Health and Health Care Policy

Chapter : Introduction: Beyond the Stable State—New Challenges and Directions for U.S. Health Policy

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Introduction: Beyond the Stable State—New Challenges and Directions for U.S. Health Policy
Introduction: Beyond the stable state—New challenges and directions for U.S. health policy

The philosopher and systems analyst Donald Schön argued that individuals, organizations, and societies bent on preserving the status quo were unlikely to prosper over the long run. In his 1971 book Beyond the Stable State, he acknowledged an innate human desire for stability and the certainty it brings. Schön concluded, however, that the pace and pervasiveness of technological change were so disruptive that efforts to maintain, or return to, a stable state were illusory and futile. Far better to proceed on the basis of these assumptions:

  • The loss of the stable state means that our society and all of its institutions are in ...

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