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I've been doing a little holiday reading and have nearly finished

reading " Collapse " by Diamond. He explores a number of case

studies and explains why societies have collapsed in the past

basically thru habitat destruction. Some instructive examples are

given how some societies have managed to survive despite limited

resources, and in some instances this has occurred thru a top down

approach, whereas in others it has been a bottom up approach, or a

mixture.

I see a parallel here with medicine and how the top down approach is

failing ... the primary care provider might be considered part of that

habitat that is being destroyed.

So, the IMP approach is a grass roots bottom up approach attempting to

survive the coming collapse ?

--

Graham Chiu

http://www.synapsedirect.com

Synapse-EMR - innovative electronic medical records system

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