3. Collective-choice arrangements
Most individuals affected by the operational rules can participate in modifying the institutional rules.
Individual participation in operational rule making is a very interesting condition or constraint. First and foremost the conditions must be designed for health and healthcare to be of enough interest that people would engage. Currently it seems that only a minority of people are actively engaged in health, health care or in the governance of their community.
We would need to look at when and how people make the choice to engage with anything and design our engagement from those principles.
We should study the concepts, methods, and results from Positive Psychology, for example Seligman’s PERMA as a starting place for engaging communities in the health of their members.