Infrastructure Failures Across America

Some Context is Needed to See How Failures in Health Care Are Related to the Failures of a Nation and Its Designers and Leaders

Nations rise and fall based on three areas - Human Infrastructure, Physical Infrastructure, and Spiritual Infrastructure.

Our designers are acting in ways that defeat the efforts of those serving on the front lines with the most contact with our people - those serving as nurses, teachers, public servants, social workers or in primary care and public health.

Our designers fail to invest in our crumbling roads, bridges, plumbing, and environments resulting in a less and less efficient nation.

Their designs result in a smaller and smaller portion of Americans doing fabulously well with most Americans falling further behind.

Designers in health and in education make this worse by the assumption that measurement and micromanagement can make this better. But follow the cash flow changes to figure out that those doing best do even better and most Americans lose again by design. Billions more each year stolen from schools, teachers, primary care, hospitals, communities, and populations most in need of dollars - ends up making disparities worse and will shape even worse outcomes.

Sometimes designers assume that a change such as health insurance expansion will help when in fact this steals even more billions of dollars where most needed and returns only ten cents on the dollar back to the community and to the fewer remaining to care for patients.

Some leaders and designers harm through greed or corruption. Others cause harm by their assumptions and untested designs.

Leadership used to be about high integrity and substantial understanding of the American people.

Our designs are failing our people and actually act to worsen outcomes. Outcomes are worse where our populations are worse and where they are more neglected and abused.

The solution is different designers - designers who actually understand the basic needs of most Americans most behind - and respond with design changes. Sadly many of those most behind, have been taught to blame others rather than appropriately holding the designers and leaders accountable.

Not surprisingly with the help of social media, our nation is more and more divided and the Spiritual Infrastructure is near collapse.

Why defeat and destroy those most devoted to service?

How can these who serve continue care and caring when abused so much by the designs? How can they support students, parents, patients, and caregivers without the resources to do so - especially where most Americans are designed so little?

How do people not see through promises of improvements in physical infrastructure to see designers and leaders who have no intention of doing so? 

Many look upon the Greatest Generation with great respect and credit them with defending our nation and the world in time of great crisis. But those who recovered the nation from the Great Depression laid the substantial groundwork for a nation rich in Human, Physical, and Spiritual Infrastructure - and ready for World War II and beyond. We prospered greatly in the 1950s when our economy was the best in the world. We invested in our nation in the 1960s and 1970s. Since the 1980s we have turned from Great Society Focus to Great Individual Focus.

It will take generations of consistent effort to recover these most basic Human, Physical, and Spiritual elements of a great nation. No civilization can survive without top priority placed in all three areas. We must all do our part to hold our designers and leaders accountable.

It takes more than saying that you are a great nation.

To be a great nation you must invest in people, children, parenting, early education, front line serving professionals, physical infrastructure, and economic development - the areas most being destroyed by overspending on health care, military, prison, and debt spending. You must change the spending away from

• too late at high cost benefiting few to
• early and often and where needed most
• - for a better population.

This is the way to better outcomes.

You cannot blame your way to a better nation or unify a nation by blaming a particularly population, or political party, or type of government. You have to be able to work with people and understand them.

We don't need reasons to hate. We need people to care.

RCB 9/22/20