Loading...
Loading...
The persistent confusion in governance discourse of treating governance, control, and enforcement as interchangeable, when they perform fundamentally different functions at different moments in time. This conflation causes institutions to misdiagnose failure and apply wrong remedies, producing brittle systems that appear heavily governed but remain poorly aligned.
When a hospital faces quality problems, it adds more audits (control) and stricter penalties (enforcement), treating these as 'governance reforms'—but never clarifies what patient care should prioritise (governance).
Pre-Gov Section 2