As I read this article at RealClearHealth by Ross Marchand, what came to mind was the problems that rise from not having clear, established performance metrics. That’s a problem with many government programs. How can you tell it’s succeeding if you don’t know what its objective is or how to measure whether it’s accomplishing its objectives? For some success or failure is measured in dollars—it either fails or succeeds based on how much you spend. That reminds me of Santayana’s definition of fanaticism as redoubling your efforts when you have lost sight of your goal.