The writer is a biomedical systems engineer and author of ‘Wicked Problems: How to Engineer a Better World’
The difference between medicine and poison lies in the dose. This truth speaks directly to government reform. As Washington prepares to launch an efficiency crusade, we must remember that efficiency, wrongly dosed, can sicken the very system it means to improve.
This principle extends beyond metaphor. Just as our bodies maintain seemingly inefficient back-up systems (like two kidneys), and financial systems keep seemingly inefficient capital reserves, governments need built-in redundancies and safety margins to function effectively during crises.
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