“For example, having been in the rare position of working in the fields of both healing and management, I could not help but notice that the batting average in the war on cancer and the batting average in the struggle to heal chronically troubled institutions are remarkably similar, with cancer perhaps a little ahead. I have been struck by how families, corporations, and other kinds of institutions are constantly trying to cure their own chronic ills through amputations, “strong medicine,” transfusions, and other forms of surgery only to find that, even when successful for the moment, the excised tumor returns several years later in “cells” that never knew the “cells” that left. “New blood” rarely thwarts malignant processes, anywhere. Indeed, with both cancer and institutions, malignant cells that appear to be dead can often revive if they receive new nourishment. Or, to put the problem another way, when we say something has gone into remission, where do we think it has gone?”