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Jahrbücher f. Nationalökonomie u. Statistik (Lucius & Lucius, Stuttgart 2007) Bd. (Vol.) 227/5+6 Das Sisyphus-Syndrom imGesundheitswesen: Neue Evidenz The Sisyphus Syndrome in Health: New Evidence Von Peter Zweifel, Zürich JEL I10, J10 Production of health, health care expenditure, dynamic feed back, Sisyphus syndrome. Summary Health care may be similar to the work Sisyphus, a Greek hero who was condemned by the Gods to push a big rock up a hill only to see it slip out of his hands before making it to the top. To see why there my be a Sisyphus syndrome in health

References [1] F. M. White. Fluid Mechanics, Mc Graw-Hill 1999. [2] ASTM E 837-13a Standard Test Method for Determining Residual Stresses by the Hole Drilling Strain-Gage Method, New York, 2001. [3] B. J. Binder. A Non-Linear Dynamical System: Flow Past a Sluice Gate. Australasian Journal of Engineering Education 2009 (15), No. 2, 27 - 34. DOI: 10.1080/22054952 .2009.11464022 [4] E. B. Shuy, H. C. Chua. Fluid-dynamic feed-back in shear layer oscillation below a submerged sluice gate. Journal of Hydraulic Research 1999 (37), No. 1, 107 - 120, DOI:10

processes can be described in terms of manipulations of informational symbols according to a set of formal syntactic rules.” (Because sensing, acting, and thinking are not “separate modular domains” but, rather, a kind of dynamic feed- back loop, embodied cognition insists that the mind be understood as both serving, and served by, a body. “By having fingers capable of grasping objects and legs capa- ble of walking and climbing walls,” write Robert Wilson and Lucia Foglia, “we sort and categorize stimuli in ways that are radically different from, say, the ways in

and environments. Indeed, genetics and environmental fac- Molecular Me (Introduction) • 9 tors seem to interact with one another in a complex, dynamic feed- back loop that further explains several aspects of the behavior of hu- mans and entire societies. One strand of this research asks whether genetic factors may predispose people to be particularly sensitive to environmental variation. The idea is that some people are orchids and will thrive (or wilt) based on environmental enrichment (or environ- mental disadvantage), and other people are dandelions and are

appropriate levels of development create the progressively more dynamic feed-backs in favour of environment. At first, as it has always been the case, these countries would be entitled to a fair degree of pollution and deterioration of environment in everything that would be justified by the need to accelerate economic development. Whenever possible, irreversible depredations should be avoided and from the start all efforts should be made to under- take those economic tasks that might have beneficial environmental consequences. The conceptual densification of this

Jahrbücherf. Nationalökonomie u. Statistik (Lucius & Lucius, Stuttgart 2007) Bd. (Vol.) 227/5+6 Das Sisyphus-Syndrom im Gesundheitswesen: Neue Evidenz The Sisyphus Syndrome in Health: New Evidence Von Peter Zweifel, Zürich JEL 110, J10 Production of health, health care expenditure, dynamic feed back, Sisyphus syndrome. Summary Health care may be similar to the work Sisyphus, a Greek hero who was condemned by the Gods to push a big rock up a hill only to see it slip out of his hands before making it to the top. To see why there my be a Sisyphus syndrome

organisms can be defined as those which are more aware and capable of responding to changes (to be changed or to change) now- and in the future, partially or totally. Subdividing and studying parts would help us bet- ter understand the system. However the whole is not merely the sum of its parts. Thus neither composing and studying the whole nor decomposing it and studying the parts would suffice. A two-way, dynamic feed-back process between the parts and the totality should be explored for the sake of the present and the future. As Harris has said, engineers

“technologies” (called subsystems below), the structure of how such multiple networks overlay and dynamically feed back into each other becomes a topological topic from which to derive the consequences for sys- tem robustness and evolvability.6 viewing economics as chemistry entails extraor- dinarily minimalist assumptions about economic production: Firms become nothing more than bins of transformation rules. Products randomly flow in and through these bins, without purpose. rules reproduce or die only as functions of use. there is no guiding intelligence either at

between capital and labor is sufficiently high that returns to the accumulation of capital do not diminish to zero.2 We can imagine that this might be the case in some man- ufacturing processes where human labor is readily replaced by robots, or in the delivery of some financial services such as ATM banking. But it is not clear that this robotic model of growth is applicable to all sectors of the economy. More interesting, to my mind at least, are models of endogenous growth that build on the economic properties of complementarity, dynamic feed- back, and nonrivalry in