Earlier quoted context omitted.
> Not to mention, the entire financial industry That IS the dumpster fire. Trust me, the reason I know is that I used to be that guy who thought Excel was a great tool. I built derivatives spreadsheets, backoffice spreadsheets, trading systems with realtime data, all sorts of crap in Excel. Really, it's Stockholm Syndrome. People who previously had zero computing power at their disposal think they've found the hammer…
You bring up some very good points. But to those, I have a question: what is the alternative? Both now (for UK healthcare), and in general? The "people who previously had zero computing power at their disposal" may be wrong in thinking "they've found the hammer that solves all problems" - but there's literally no other hammer available for them. They're not programmers, they won't write their own software (nor would…
Another piece is pervasive auditability. Any result should come with an explanation of where it came from; "Bob did some calculations in his head and he reckons the answer is 7" would be acceptable for some kinds of business decisions, while for others it needs to be more like "Bob followed the procedure specified in the XZY institute handbook, page 456". Somehow we've let all that go out the window, partly because people who don't understand computing are managing organisations that deeply depend on it. But you don't even really need computer literacy; what you do need is the same kind of scepticism that you'd apply to any other piece of work.
Managers need to manage. Some of the problem is just people lacking the necessary skills (and a lot of that goes all the way to the top: the UK government doesn't have the wherewithal to hire skilled computer professionals because at every level the people on top don't have the skills to assess whether the people below them are any good), but a lot is a misplaced perception of computers as infallible.