You cannot tell a failing institution from a healthy one by looking: the parts visible from outside are the parts that least reflect its actual health.

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Our reading — they may agree, disagree or merely touch the same thing. Closest first: a shared subject counts for most, then how near the wording is.

• Repairing a dysfunctional institution is harder than building a functional one from scratch, because its internal forces resist change and the dysfunction is hard to diagnose in the first place. SBSamo Burja9 Jul 2018similar wording
• A functioning institution is a rare exception and never grows by itself: it was assembled by a founder with good judgement. SBSamo Burja9 Jul 2018similar wording
• When institutions can only offer compromised care they end up calling it best practice, and the patients who do not get better conclude that they themselves are beyond help. JSJonathan Shedler27 Jul 2026similar wording
• You cannot state the problem clearly without first trying and getting it wrong; the effort that looks wasted is how the thesis gets found. NFNicole Forsgren22 Mar 2026similar wording
• Trust in institutions has fallen because the institutions have been repeatedly and spectacularly wrong. JCJohn H. Cochrane18 Sept 2025similar wording

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