The Shirky Principle as applied to stroke

My head explodes how this precisely describes trying to get the stroke medical world to examine itself.
The Japanese version;
シャーキーの法則　　The Shirky Principle

「組織は自分自身がその解決策となるべき問題を維持しようとする。」―― クレイ・シャーキー

こ の意見はすばらしいと思う。これを見て、私は明解なピーターの法則を思い出した。それは、組織にいる人間はその人が無能になる段階まで昇進する、というも のである。その段階になると、その人は過去の業績のおかげで解雇されることはないが、それ以上昇進できなくなって、その無能な状態で滞留する。
"Institutions will try to preserve the problem to which they are the solution." -- Clay Shirky
I think this observation is brilliant. It reminds me of the clarity of the Peter Principle, which says that a person in an organization will be promoted to the level of their incompetence. At which point their past achievements will prevent them from being fired, but their incompetence at this new level will prevent them from being promoted again, so they stagnate in their incompetence.
The Shirky Principle declares that complex solutions (like a company, or an industry) can become so dedicated to the problem they are the solution to, that often they inadvertently perpetuate the problem.
http://www.kk.org/thetechnium/archives/2010/04/the_shirky_prin.php
Ask your doctor how they are not part of the problem. I want reports of exploding heads.
This matches to my earlier post about the non-plasticity of doctors.

Do doctors exhibit plasticity?