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"sick organizations need intervention, often external, to reveal the truth and hold them accountable"

This is great advice. I would also add that sick organizations often don't know they're sick due to causality. If an organization knew they were getting sicker, they would invite external intervention early. Thus by needing external intervention, the organization probably does not know they are sick and thus can't act by inviting external intervention.

We've been talking about exposing healthy debate between senior engineers publicly as a way to show others that it is important to speak up when you see signs of sickness.

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