Total parking charges £174 million in a year | |||
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"... for their quantitative models based on equilibrium, efficiency and rationality. By co-opting methods from the physical sciences, a bewildering array of fancy-looking graphs and complex equations was soon spawned. Having stripped out the fuzziness of mortal endeavours, these neo-economists were freed to use their slide-rules on a quantitative version of our world. ... Their Möbius-strip models go everywhere and arrive nowhere." (2)
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"Since the early writings of 13th century theologians such as Thomas Aquinas, what we call economics had been taught as a broad discipline covering politics, society, ethics, husbandry and moral philosophy. But by the 19th century, academics such as Vilfredo Pareto, Alfred Marshall and Thorstein Veblen had jettisoned humanistic thinking ..." (1)
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"For the rest of the 20th century, the cult of quants purged humanity from the study of finance. This was a big mistake. We don't build businesses, work in offices, service customers or sell products to satisfy arcane algorithms.
We pursue a very human set of needs: food, shelter, status, community and well-being. Economics needs to be re-entered on human ad societal conduct - however messy and irrational it actually is." (3) Aron Miodownik
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"A subtler effect of ego is one that doesn't threaten reputation so much as how you prioritize what is important. The threat is based on a sense that your opinion, approach, and perspective are the only ones with merit. While arrogance is one outcome of these elements, a much subtler risk that can bubble to the surface is becoming too focused on theory.
...
Unfortunately, some folks have something of a love affair with theory. Many of these people write extensive blog entries, give very generic (though well-meaning) presentations, and often seem to think that their primary role is to impart knowledge to others and sound as wildly academic as possible. But there is no secret ingredient in growing community. What makes a great community leader is experience: trying new ideas and concepts and learning from the successes and mistakes." p.17.
1st PERSON here 'Me' 'I' - my dialogue 'Me' - a PERSON - as Narrator Psychiatrist... as Narrator? | and ... 1st PERSON here perspective, point of view Physician... as Narrator? Case Study as Narrator |
'We' as Narrator 1st PERSON
'You' 2nd Person
'He' or 'She' as Narrator -
3rd PERSON
Carer / Relative as 1st or 2nd PERSON
| NHS as Narrator - The Clinical Record Commissioner - Insurer as Publisher? Dept of Health as Narrator Governments as Publishers (What chance of an 'advance')? |
COGNITIVE ACCESS | PHYSICAL ACCESS |
SOCIAL
ACCESS |
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| ‘Woman Swinging Below an Aubergine Plant’, watercolour with pencil, 19th century (Wellcome Collection) |
oral traditions learning teacher - student | 3000 years botany turmeric |
culture, history,
community knowledge,
traditional medicine
| West - contested - East prices scope of patents |
People probably look at Hodges' model and see something that is simplistic. There is a great power, however, in the scenarios that the structure of Hodges' model can readily encompass. Not just in the hospital, but across all care contexts.
"Where is the great value promised by the transition to EHR [Electronic Health Record]? Where is the huge surplus from all those lives saved? Without an actor who can find it, and deploy it to shift the doctors into surplus, nothing will happen.
If the ecosystem* includes just the five traditional players, EHR will remain an academic dream. The answer, then, requires introducing a new player - an aggregator. Because the odds of mistakes are so low, the benefits of EHR are invisible to the individual patient. They become material only when we aggregate outcomes over a large enough number of patients. We need to find an actor whose surplus is affected by patients not as individuals but as a group, and who is able to both capture and distribute this benefit; insurers, health-care systems, and governments all fit the bill. And the larger the group, the larger the surplus." p.130.
Sober, E. Force and disposition in evolutionary theory. In. Hookway, C. (ed.) (1984). Minds, Machines And Evolution. Cambridge: Cambridge University Press. pp.43-61."It is gratifying to find these biological ideas already enshrined in the ordinary meaning of 'selection for' and 'selection of'. My young son has a toy which takes all the mystery out of this distinction. Plastic discs with circles cut out of them are stacked with spaces in between in a closed cylinder. Top-most disc contains very big holes, and the holes decrease in size as one moves down from disc to disc. At the top of the cylinder are found balls of different sizes. A good shaking will distribute the balls to their respective levels. The smallest balls end up arrayed at the bottom. The next smallest sized balls settle at the next level up, and so on. It happens that the balls of the same size also happen to have the same color. Shaking sends the black balls to the bottom, the pink to the next level up, and so on. The whole cylinder (plus paternal administered shaking) is a selection machine. The device selects for small balls (these are the ones which pass to the bottom). It does not select for black balls (even though these are the ones that pass to the bottom). But when we ask after a shaking what was selected, it is equally correct to say that the black balls were selected and that the small ones were. 'Selection for' focuses on causes; 'selection of' picks out effects." p.50-51.
Sober (1984) Child's toy
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| Brian E. Hodges - c/o Brian's family. |
Born in Liverpool, NW England, UK.
Community Mental Health Nurse NHS, Part-time Lecturer,
Researcher Nursing & Technology Enhanced Learning
Registered Nurse - Mental Health & General
Community Psychiatric Nursing (Cert.) MMU
PG Cert. Ed.
BA(Joint Hons.) Computing and Philosophy - BIHE - Bolton
PG(Dip.) Collaboration on Psychosocial Education [COPE] Univ. Man.
MRES. e-Research and Technology Enhanced Learning, Lancaster Univ.
Live and work in NW England - seeking a global perspective.
The views expressed on W2tQ are entirely my own, unless stated otherwise.
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orcid.org/0000-0002-0192-8965
