The dramatic unfolding of events after Martin Luther's revolutionary act led to the ultimate, and seemingly irreparable, fissure with Roman Catholicism: From the point of that rupture, up to and including most of the 20th century, the history of theological and ecclesial readings of Luther has been controlled largely by a rubric assuming the inevitability of fracture and the portrayal of Luther as a veritable bete noire of Catholic history and theology. Remembering the Reformation enters into this contested history and pursues a more nuanced and considered reading of Luther's relationship with the Catholic tradition, from his Augustinian roots and medieval training to his reading of scripture and investigations of ecclesiology, as well as his continued relevance and challenge to Catholic theology today. An international consortium of scholars, Catholic and Protestant, contribute to this volume and provide a thoughtful, textured reimagining of Luther for an ecumenical future.
Healthcare Reformation or Transformation?
That is the Question February 9, Reprints Is simple improvement needed, or a true metamorphosis? If the option in the future of healthcare is between "rationed" care and "rational" care, and, I believe that it is, and if the context in which the choice between these options must be understood is in terms of "reality," responsibility" and "rights," as discussed last week, and I believe that we must change the discussion.
The national healthcare policy debate has been cast in terms of reforming of the system. I would argue that reforming is an inadequate goal, doomed to failure, and even if should succeed; reformation of the healthcare system will not produce the positive results which are legitimately desired by all participants in the debate.
I would argue that if healthcare change is going to improve care, improve the quality of life, cover all Americans, and address the rising cost of care, we must have transformation of the healthcare system and not simple reformation.
Does the distinction between reformation and transformation of the system really make a difference?
In order to examine this question, we must define our terms. The definition of "reformation" is "improvement or an intended improvement in the existing form or condition of institutions or practices etc.
In function, the distinction between these two concepts as applied to healthcare is that "reformation" comes from pressure from the outside, while "transformation" comes from an essential change of motivation and dynamic from the inside.
Unfortunately, reshaping under pressure can fracture the object being confined to a new space. And, it can do so in such a way as to permanently alter the structural integrity of that which is being reformed.
Also, once the external pressure Inevitablity of the reformation eliminated, redirected or lessened, the object often returns to its previous shape as nothing has fundamentally changed in its nature.
Being from within, transformation results in change which is not simply reflected in shape, structure, dimension or appearance, but transformation results in a change which is part of the nature of the organization being transformed.
The process itself creates a dynamic which is generative, i. Transformation is not dependent upon external pressure but is sustained by an internal drive which is energized by the evolving nature of the organization.
While this may initially appear to be excessively abstract and unwieldy, it really begins to address the methods or tools needed for reformation or for transformation. They are significantly different. The tools of reformation, particularly in healthcare administration are rules, regulations, and restrictions.
Reformation is focused upon establishing limits and boundaries rather than realizing possibilities. There is nothing generative - creative - about reformation.
In fact, reformation has a "lethal gene" within its structure. That gene is the natural order of an organization, industry or system's ability and will to resist, circumvent and overcome the tools of reformation, requiring new tools, new rules, new regulations and new restrictions.
This becomes a vicious cycle. While the nature of the system actually does change, where the goal was reformation, it is most often a dysfunctional change which does not produce the desired results and often makes things worse. The tools of transformation may actually begin with the same ideals and goals as reformation, but now rather than attempting to impose the changes necessary to achieve those ideals and goals, a transformative process initiates behavioral changes which become self-sustaining, not because of rules, regulations and restrictions but because the images of the desired changes are internalized by the organization which then finds creative and novel ways of achieving those changes.
It is possible for an organization to meet rules, regulations and restrictions perfunctorily without ever experiencing the transformative power which was hoped for by those who fashioned the external pressure for change. In terms of healthcare administration, policy makers can begin reforms by restricting reimbursement for units of work, i.
While this would hopefully decrease the total cost of care, it would only do so per unit. As more people are added to the public guaranteed healthcare system, the increase in units of care will quickly outstrip any savings from the reduction of the cost of each unit. Historically, this has proved to be the case.
When Medicare was instituted inprojections were made about the increase in cost. No one had anticipated the appetite for care and the consequent costs which would be created by a system which made access to care universal for those over 65 and which eliminated most financial barriers to the accessing of that care.
Reformation of healthcare promises to decrease the cost of care by improving preventive care, lifestyles and quality of care. This ignores the initial cost of preventive care which has a payoff almost a generation later. It ignores the fact that people still have the right, which they often exercise, to adopt unhealthy lifestyles.
Even the President of the United States continues to smoke. The currently proposed reformation of the healthcare system does nothing to address the fact that the structure of our healthcare system is built upon a "patient" coming to a healthcare provider who is expected to do something "for" the patient.
The expectation by the system and by the recipient of care is that something is going to be done "to" or "for" the patient in which process the patient is passive.
There is little personal responsibility on the part of the patient for their own healthcare, whether as to content, cost or appropriateness.
The healthcare provider is responsible for the health of the patient. Transformation of healthcare would result in a radical change in relationship between patient and provider.
The patient would no longer be a passive recipient of care given by the healthcare system. The patient and provider would become an active team where the provider would cease to be a constable attempting to impose health upon an unwilling or unwitting patient.
The collaboration between the patient and the provider would be based on the rational accessing of care.One of my first reviews for Amazon was The Great Mortality () by John Kelly, the story of the Black Plague that ravaged Europe from through This catastrophe which claimed about 50% of the European population had immense impact upon the Church in terms of contributing to events that would make the Reformation something of an inevitability.
The secularization of knowledge which resulted from the Reformation is nothing but "ideological imperialism masquerading as an intellectual inevitability." . The inevitability of unconditionally deleterious substitutions during adaptation. An ancient mediterranean melting pot: investigating the uniparental genetic structure and population history of.
Jun 23, · Has the Reformation truly finished???? Discussion in 'Current Events & Politics Forum' started by brakelite, It appears that the "Reformation" that is most needed at this time is a reformation of Protestantism itself! but the inevitability of the outcome of God's Plan of ultimate redemption; and dealing with the "Mystery of Iniquity".
The Philosophy of the Reformation and Its Historical Impact, by John Immel – Part 1 the inevitability of the “gravity” of human action is the observation that man tends down the path of his own self-destruction over and over and over. It is this very observation which has been used as a case in point to say that man is in effect.
The Protestant Reformation Through Maps above, and you will take notes please, be prepared to discuss what you’ve learned in our next class There is an inevitability of change • Since the collapse of the Roman Empire, in CE, the single biggest, richest, most powerful institution in Europe is the Catholic church.
bread and wine.