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ealth systems are no more static than tectonic plates, and sometimes it appears that they move at about the same speed. By contrast, the needs of the populations they serve appear to move at the speed of light, creating a situation where the health system that is fit-for-purpose at one time point is a dysfunctional system a little while later. There reaches a point where stretch gives way to collapse. This issue of the Journal contains articles that both point to evidence of the looming potential of this dire consequence and articles that suggest ways to avoid it.
Susan Dovey (Thu,) studied this question.