Re-Designing the US Health Care System:
Think Universally, Design Locally

by Dr. Susan Parenti

This paper picks up the dialogue started by Paul Starr with The Social Transformation of American Medicine, in which he noted “The dream of reason did not take power into account.” With gratitude to Patch Adams MD, Gesundheit! Institute, for conversations on health care system design and political activism.

Writings by Marianne Brün

In 1981 and 1984, I offered a class I called “Designing Society” at Unit One (an experimental program for undergraduate students at the University of Illinois). I know of no other place where such a course is being offered, although I think it should be part of every curriculum.

 Designing Society                 Paradigms: The Inertia of Language

Listening and Unentitled

By Mark Enslin

A project to document the life of a single composition. Unentitled, a solo for listener-keyboardist & 13 voices, was written by Mark Enslin 1996-2002 and is now being performed by Susan Parenti. The goal is to bring the piece to a hundred different pianos—and audiences—and in the process learn what it needs to perturb how it can. 

The Anticommunication Imperative

By Larry Richards

There are times when a new idea needs to be protected from getting forced into old language – from having its newness ignored.  Those of us who wish to avoid having our new ideas and proposals stuffed into the framework of someone’s ideology may want to think in terms of anticommunication.

Anticommunication is not an opposition to communication – it’s an alternative that you can explore and refine, in addition to exploring and refining communication.  Herbert Brün invented anticommunication, and others are developing it.

Collection of writings by Larry Richards

ReDesigning the Character of the Care-actor

by Dr. Susan Parenti

We see two directions that dominate the talk around health care systems: that of corporate care, and—challenging this—that of single payer. We reject the direction of corporate care; we value single-payer and its radical rearrangement of financial incentives that would give all people access to health care; AND we invite people to widen the scope of health care system change beyond the financial aspect.

Many more readings including further writings by Mark Enslin and Susan Parenti, can be found online at these resources: