The Missing Ingredients
"Be the change you want to see in the world" Gandhi I have worked in some truly great places and also in some very dysfunctional places. I like the word dysfunctional because it suggests that the predominant way of relating to one another inhibits the designed function. I worked at a Health Center when I first moved to Cleveland that was so dysfunctional that their culture became an excuse in itself. I would ask about the availability of routine immunizations that were needed for children, and the response would be "You know how we are", or "Do you know where you are?". Because of poor systems, terrible accountability, administrative incompetence, and indifference to the suffering of many, this clinic would offer sub-standard care. It was never anyone's fault; it was always the "system". It is dysfunction that has been institutionalized. Many of the readers of this blog may relate to having had lived, worked or volunteered in a dysf...