| Authors Glouberman and Zimmerman report that it makes a difference if a problem is viewed as “complicated” or “complex” when applying remedies. In this paper they argue that health care systems are complex, and that repairing them is a complex problem. Most attempts to intervene in Medicare (and in many other health care systems) treat health systems as if they were merely complicated. The paper demonstrates this failure of understanding by tracing the deterioration of Medicare through a series of complicated interventions to its present destabilized state.. The paper suggests that many of these dilemmas can be dissolved if the system is viewed as complex. |