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Coleman McCormick's avatar

As much as my priors made me love the ideas in Seeing Like a State, I felt the same way about the "well what shall we do then?" take. Most implementations of high modernism we have today are (IMO) net *good*, not bad, even though there've been downsides. I've always been a both-siders on many things — every system comes with pros and cons. You make trades. Somewhere between living-like-peasants with rich tribal knowledge and the authoritarian nanny state is some medium we can make work (we already do).

To me the key is avoiding the guardrail extremes, but algorithm culture seems to constantly pull people to the edges: one group wanting to go back to the middle ages, the other to drag the world into a global New Economic Order. One group crows Malthusian overpopulation and climate disaster, the other unmitigated technological acceleration. Maybe we could meet in the middle...

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Bill Gardner's avatar

Henry, thank you for this, particularly your, "OK, then what shall we do?" criticism.

I spent my career modelling enormous data sets on health systems to try get better care to more people. Now that I am in end-of-life care, I have a close and personal view of the truths Scott pointed to.

Unfortunately, harrowing suffering and bottomless unmet needs for care persist; I do not see how Scott's approach could address them. Therefore, I remain committed to my life's work. Doctors should read Seeing Like a State, but they also need to follow the evidence, such as it is.

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