No genuine system of mental health care exists in the United States.
President Obama can kick-start planning for a genuine system of mental health care, by establishing a presidential commission to suggest realistic, re-inventive steps forward.
Not to replace the old authority with an equally dominant party, as in South Africa, but with a genuine system of alternatives.
Deep scars remain and, despite a peace agreement that has held, a permanent political settlement has remained elusive, crippling efforts to construct a genuine system of local and national government.
Transforming the current chaotic mélange of health care payment and delivery arrangements into a genuine system will take many years, because current arrangements are entrenched and structured to resist effective cost control.
Despite his denials in 2013, it is possible that General Abdel Fattah al-Sisi, the power behind the throne, will put himself forward for the presidency.The key to progress, whatever his formal position, is that he allows a genuine system of democratic checks and balances to emerge.
A further question regarding chaos and realism is the following: Is chaos only a feature of our mathematical models or is it a genuine feature of actual systems in our world?
This integration would have been necessary for the development of a more genuine systems-oriented view on safety; e.g. a conception of safety in which human, technological, organisational and cultural factors are understood as mutually interacting elements.
One of the major challenges for the future, therefore, is to develop a genuine systems-wide approach for measuring the intertwined cellular metabolism of host and pathogen in situ.
In this respect, it will be advantageous to assess new enzymatic processes in microbioreactors designed to resemble genuine reactor systems.
