Instrument 06 of 14
Three ledgers
Two people can hold identical coverage while one of them makes twenty phone calls to use it. An institution keeps three ledgers: who gets the resources, who must work to make them real, and who can correct the process when it fails. Two institutions identical in the first can be opposites in the other two.
| Ledger | Clinic A | Clinic B |
|---|---|---|
| 1 · Resources | $4.2M a year · 11 clinicians · 15-minute slots · one interpreter line | $4.2M a year · 11 clinicians · 15-minute slots · one interpreter line |
| 2 · Who reconciles the rule with the lives it does not fit | The institution redesigns the rule | The person served absorbs it |
| 3 · Who may alter the rule when reconciling keeps failing | The people served can force revision | No one outside the institution |
Identical. No comparison of this ledger will separate them, and this is the ledger the argument is usually held on.
In Clinic B, the person served absorbs the mismatch and cannot alter the rule that produced it. That configuration — the second and third ledgers routed to the same person — is what the essay specifies as domination.
Where the claim is argued
Next instrument: The late record