LAUSR

Correspondence to Dr Seye Abimbola; Seye. Abimbola@ sydney. edu. au © Author(s) (or their employer(s)) 2021. Reuse permitted under CC BYNC. No commercial reuse. See rights and permissions. Published by BMJ. If ...the problem of society is mainly one of rapid adaptation to changes in the particular circumstances of time and place... [then] the ultimate decisions must be left to the people who are familiar with these circumstances, who know directly of the relevant changes and of the resources immediately available to meet them. We cannot expect that this problem will be solved by first communicating all this knowledge to a central board which, after integrating all knowledge, issues its orders. We must solve [the problem] by some form of decentralization...