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.

Added to korrents 7 Sept 2026 · How quotes work · Something wrong? Tell us

Shared subject first, then similar wording. They may agree or disagree.

• Institutions fail not because people are wicked, but because evidence, incentives, discretion, and review rights flow in the wrong direction. RKRohit Krishnan26 May 2026
• 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 2018
• A functioning institution is a rare exception and never grows by itself: it was assembled by a founder with good judgement. SBSamo Burja9 Jul 2018
• 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 2026
• A pre-mortem has to treat the failure as certain and ask why it happened; asking what could go wrong is too tentative to work. GKGary Klein9 Aug 2022

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