The problem with cycles is that they make you return to the same point from which you started. This minimizes the true opportunities for improvement.
I believe we need to deal with health targets in SPIRALs not cycles. In spirals we will never stop looking forward and should never return to the point of commencement. This may seem too philosophical, so let's put it in relation to three examples: HFA-2000, MDGs-2015 and even our dear HIFA-2015
Both refelcts the cyclic kind of thinking, where things start from a point (Alma Ata for HFA 2000), or Global Summit in 2000, which approved the MDGs, and will end in a fixed point in a fixed time. This is narrowing of the wide and forcing the parallels to meet.
We need to look at health as a moving target, becau…