[Oe List ...] the nation state and the massive scale question

[Susan Fertig]

Right on -- one has only to look at Katrina, one of the worst failures of
the Bush Administration (albeit caused by an intransigent, proud,
politically motivated, and uncaring governor and mayor). 


Susan

-----Original Message-----
From: oe-bounces at wedgeblade.net [mailto:oe-bounces at wedgeblade.net] On Behalf
Of Jack Gilles
Sent: Wednesday, September 02, 2009 11:46 AM
To: Order Ecumenical Community
Subject: [Oe List ...] Health Care For All

Dear Colleagues,

I can't say I agree with Susan's arguments, but there are points we need to
consider.  As I remember our geo-social analysis on polity, we said the
future of the nation state was passing away.  We would emerge with a
Regionalis dynamic in which the interactions of the Area (based on 54 major
metro centers), Regions (the key dynamic) and Metros would be the basis of
the new Polity.  There are many indicators that show this analysis is on
target and many things seem to be moving in that direction.

So my question is, is it realistic to think a country of 300 million can
manage a common health system that does justice to both our diversity and
accessibility?  I know there are lots of fast computers that can crunch vast
amounts of data and information, but I doubt that  
anything that massive could really work like we would like it to.   
Great Britain's system is constantly being challenged as too big, and other
countries who offer national coverage are smaller than ours, usually about
the size of what we said was an Area.  I am all for universal coverage, but
wonder if it can, and should, be designed on such a massive scale.

Jack

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