I was visiting my granddaughter, Mira, who is two yearsold. Her parents, Mira, and I went to the beach. After a while, we wanted to go back to the car. Mira started screaming. She wanted to stay at the beach.

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Healthy systems are both effective and efficient, in the short run and the long run. To achieve this balance, all four PAEI functions must be performed well.

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Leadership education prioritizes theoretical decision-making but neglects the "mechanics and politics" of implementation. By favoring individual excellence over complementary teams and organizational structure, it leaves leaders ill-equipped for modern execution. Future development must emphasize empathy and internal integration.

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Three perceptions drive decision making. What we want, what we believe we should do, and the reality facing us, the is.

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In some languages, the expression is “mutual trust and respect,” with trust ahead of respect. In other languages it is “respect and trust”—the reverse order. What should it be?

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The PAEI model helps explain why developing nations are stuck in their development.Through my field research, I discovered these four PAEI functions must be performed if a organic system, person, family, company or country, is to be healthy. I call them managerial roles:

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