However, the very month we celebrated this great anniversary was bookended by the tragic shootings in Las Vegas on October 1 and Sutherland Springs, Texas on November 5. In light of these shootings, the ongoing racial tension in America, the looming threat of war with North Korea, and countless other tragedies across the world every day, is it wise to take time to celebrate the Protestant Reformation this month? Why not save our energy and pen strokes to work toward solving some of these issues that are tearing the world apart?
Healthcare Reformation or Transformation?
That is the Question February 9, Reprints Is simple improvement needed, or a true metamorphosis? If the option in the future of healthcare is between "rationed" care and "rational" care, and, I believe that it is, and if the context in which the choice between these options must be understood is in terms of "reality," responsibility" and "rights," as discussed last week, and I believe that we must change the discussion.
The national healthcare policy debate has been cast in terms of reforming of the system.
I would argue that reforming is an inadequate goal, doomed to failure, and even if should succeed; reformation of the healthcare system will not produce the positive results which are legitimately desired by all participants in the debate.
I would argue that Inevitablity of the reformation healthcare change is going to improve care, improve the quality of life, cover all Americans, and address the rising cost of care, we must have transformation of the healthcare system and not simple reformation.
Does the distinction between reformation and transformation of the system really make a difference? In order to examine this question, we must define our terms. The definition of "reformation" is "improvement or an intended improvement in the existing form or condition of institutions or practices etc.
In function, the distinction between these two concepts as applied to healthcare is that "reformation" comes from pressure from the outside, while "transformation" comes from an essential change of motivation and dynamic from the inside. Unfortunately, reshaping under pressure can fracture the object being confined to a new space.
And, it can do so in such a way as to permanently alter the structural integrity of that which is being reformed.
Also, once the external pressure is eliminated, redirected or lessened, the object often returns to its previous shape as nothing has fundamentally changed in its nature. Being from within, transformation results in change which is not simply reflected in shape, structure, dimension or appearance, but transformation results in a change which is part of the nature of the organization being transformed.
The process itself creates a dynamic which is generative, i. Transformation is not dependent upon external pressure but is sustained by an internal drive which is energized by the evolving nature of the organization.
While this may initially appear to be excessively abstract and unwieldy, it really begins to address the methods or tools needed for reformation or for transformation. They are significantly different. The tools of reformation, particularly in healthcare administration are rules, regulations, and restrictions.
Reformation is focused upon establishing limits and boundaries rather than realizing possibilities. There is nothing generative - creative - about reformation. In fact, reformation has a "lethal gene" within its structure.
That gene is the natural order of an organization, industry or system's ability and will to resist, circumvent and overcome the tools of reformation, requiring new tools, new rules, new regulations and new restrictions. This becomes a vicious cycle.
While the nature of the system actually does change, where the goal was reformation, it is most often a dysfunctional change which does not produce the desired results and often makes things worse. The tools of transformation may actually begin with the same ideals and goals as reformation, but now rather than attempting to impose the changes necessary to achieve those ideals and goals, a transformative process initiates behavioral changes which become self-sustaining, not because of rules, regulations and restrictions but because the images of the desired changes are internalized by the organization which then finds creative and novel ways of achieving those changes.
It is possible for an organization to meet rules, regulations and restrictions perfunctorily without ever experiencing the transformative power which was hoped for by those who fashioned the external pressure for change. In terms of healthcare administration, policy makers can begin reforms by restricting reimbursement for units of work, i.
While this would hopefully decrease the total cost of care, it would only do so per unit. As more people are added to the public guaranteed healthcare system, the increase in units of care will quickly outstrip any savings from the reduction of the cost of each unit.
Historically, this has proved to be the case. When Medicare was instituted inprojections were made about the increase in cost.SANCHEZ: This is where the question of historical inevitability gets complicated, because there are a lot of complicated reasons tying the Reformation to Luther rather than someone else.
Some of these reasons are fundamentally political. A Theology of Word-Event and Reformation 79 voice ring out in the whole world so that it may be everywhere heard as a loud crying out in the public sphere.
Luther’s definition of the gospel as viva vox evangelii does include the possibility and inevitability of arguments and disputes as the true understanding of the gospel is considered This.
This lecture and film series investigates the standard “Whig” interpretation of English history which placed the English Reformation in a timeline of progress, reform, and inevitability from the sixteenth century until the late twentieth century and its use as patriotic propaganda in the definition of “Englishness”.
Dec 14, · "The myth of the English Reformation is that it did not happen, or that it happened by accident rather than design, or that it was halfhearted and sought a via media between Catholicism and Protestantism; and the point at issue is the identity of the Church of England.
From the point of that rupture, up to and including most of the 20th century, the history of theological and ecclesial readings of Luther has been controlled largely by a rubric assuming the inevitability of fracture and the portrayal of Luther as a veritable bete noire of Catholic history and theology.
Christians Can Change the World - Reformation Society If God can change you, then God can use you to change some part of this world. That our fallen world needs changing is beyond question.