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   David Chisnall (*Now with 50% more sarcasm!*) (david_chisnall@infosec.exchange)'s status on Sunday, 30-Mar-2025 20:13:28 JST David Chisnall (*Now with 50% more sarcasm!*)

   in reply to

   • Emeritus Prof Christopher May
   • GeofCox

   @ChrisMayLA6 @GeofCox Access to treatment for diabetes is the best case study I’ve seen for this. Cost cutting there increased the number of amputations and of prosthetics and long-term disability support needed and offset the cost savings by over and order of magnitude. But the two are in totally different parts of the NHS budget and so the people responsible for the cost savings looked good to their management.

   • Embed this notice
     Emeritus Prof Christopher May (chrismayla6@zirk.us)'s status on Sunday, 30-Mar-2025 20:13:29 JST Emeritus Prof Christopher May

     • GeofCox

     @GeofCox

     Very well put; the disaster of false economies is all around us, but what I would add to your account is the domination of short-term reasoning behind the focus on costs; costs can be reduced relatively quickly in the budget cycle, investment returns, especially SROI take some time to materialise & so cannot be accounted for by the economically myopic.... this is an issue across the UK & lies (among other things) behind the 'productivity puzzle'...

     GreenSkyOverMe (Monika) repeated this.