After talking about the biological causes of cleft lip and cleft palate and the history of surgeries to help patients born with these differences in biological development, in this Episode 30 of Butterfly Arose I look at it from the perspectives of patients and their families who live with the gifts and challenges they face.

In this episode of Butterfly Arose I look into how the medical system addresses the needs of people born with cleft lip or cleft palate, focusing on the role surgeons play. Given how complex these differences in development are biologically, what can surgeons do?

In this Episode of Butterfly Arose I change course by using study of our human biological development as the center around which several episodes will focus. begin with my learning about the biology of cleft lip and cleft palate; what we know and don't know.

In this episode of Butterfly Arose I talk about a new book titled Incorruptible, written by Eric Ries. He advocates for private companies to organize themselves legally and culturally so they serve their customers and employees. This is contrary to the how some external investors act by demanding maximum profits even in ways that devalue customers and employees. I use the example of how my healthcare provider and Epic, the software company that stores customer information, were built to that protect their customer and employee centered values.

In this episode of Butterfly Arose I talk about a new book titled Incorruptible, written by Eric Ries. He advocates for private companies to organize themselves legally and culturally so they serve their customers and employees. This is contrary to the how some external investors act by demanding maximum profits even in ways that devalue customers and employees. I use the example of how my healthcare provider and Epic, the software company that stores customer information, were built to that protect their customer and employee centered values.

In this episode of Butterfly Arose I read about and think through in some more depth the way doctors essentially pushed midwives to the margins of birth medicine. I talk about the different approaches of doctors and direct-entry midwives, and my own thoughts about the current situation.

In this Episode of Butterfly Arose I complete my reporting on the 1982 edition of Paul Starr's book The Social Transformation of American Medicine. I include articles on how the system has evolved since he wrote his book and give my own thoughts on what might guide changes in the system.

As a bonus, I include a description of a major private company in our system that takes specific steps that help it do the right thing even as it is profitable.

In this episode of Butterfly Arose I try to be honest about a theory or belief about how complex systems interact and grow becomes apparent as I learn from Paul Starr's book The Social Transformation of American Medicine.