Fragmentation and the De-Optimization of Centralization
Solutions abound, but they look forward, not backward.
Many observers decry the loss of national coherence and purpose, and the increasing fragmentation of the populace into “tribes” with their own loyalties, value systems and priorities.
These observers look back on the national unity of World War II as the ideal social standard: everyone pitching in, with shared purpose and sacrifice. (Never mind the war killed tens of millions of people, including over 400,000 Americans.)
But few (if any) of these nostalgic observers note that history has no rewind button or reverse gear. It is impossible to recreate the national unity of World War II, as modern war is either specialized or nuclear. Neither enable mass mobilization.
Few observers note that World War II set the template for the next 60 years:the solution is always to further centralize power, control and money to serve the goals set by centralized authority.
The wartime economies of every combatant were optimized not just for production of war goods but for centralized command and control of that production.
We are now so habituated to centralized decision-making, control and powerthat we don’t even question the notion that a wildly diverse nation of 320 million people can be well-served by a single healthcare system that requires thousands of pages of regulations to function in a centrally managed fashion.
It seems blindingly obvious to me that we need 10,000 different solutions to healthcare, not one insanely complex centralized system that is a global outlier in its cost and ineffectiveness (see chart below).
Those who are nostalgic for a centralized command and control economy and society are like those who decried the breakdown of “the one faith” Catholicism in the emergence of Protestant Christians.
The Protestant Reformation occurred because the centralized authority of Rome no longer worked for many of the faithful. The proliferation of Protestant churches was the solution.
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