What it means is that the center cannot hold. Think of this. It used to be that all of your medical information came in a sanitized package from your physician. If your physician was unwilling to try a treatment approach, you never heard about it. As far as you were concerned, it didn’t exist. Now patients can seek out other forms of information on the internet and by doing so become empowered. Capable of making decisions they never would have known existed. That’s the power of fragmentation. The power of the many, many, many, small, small, small groups breaking away from the center and empowering themselves.
You can follow this blog at lymepolicywonk.org. Lorraine Johnson, JD, MBA can be reached at firstname.lastname@example.org.