Why Modern Governments Fail Repeatedly — and Why the Cause Is Anatomical
- Sunil Dutt Jha

- Dec 29, 2025
- 5 min read
Updated: 6 days ago
Government Policy & Anatomy Reasoning

Why Governments in 2025 Are Still Using 1825-Era Governing Practices
In the early nineteenth century, medical practice faced a fundamental limitation. Physicians could observe symptoms, measure pulse and temperature, and document outcomes, but they lacked a reliable understanding of the internal structure of the human body.
Because people appeared different externally, it was widely assumed in practice that internal anatomy also varied significantly from person to person.
This assumption shaped how medicine was practised. Diagnosis relied on experience rather than structure. Treatment depended on what a particular doctor had seen before.
Failures were explained after the fact through post-mortems, not prevented through diagnosis. Medicine functioned, but it functioned through judgment, memory, and repetition rather than control.
The decisive shift came in the mid-nineteenth century through systematic anatomical study, most notably consolidated in Gray’s Anatomy, first published in 1858 after years of structured observation. What this work demonstrated was not a new treatment or instrument, but a simple and disruptive fact: despite external differences, all humans share the same internal anatomical structure.
One billion people did not have one billion anatomies. They had one anatomy, expressed in different forms.
This single realisation permanently altered medical practice. Diagnosis moved from symptom observation to structural understanding. Surgery moved from experience-driven intervention to precision. Treatment ceased to depend on who the doctor was and began to depend on what the body was. Modern medicine does not debate anatomy; it assumes it.
Governments in 2025 are in a position strikingly similar to medicine in 1825.
Modern governments observe symptoms: delayed execution, policy leakage, coordination breakdowns, rising costs, and institutional fatigue. They measure performance through dashboards, KPIs, audits, compliance reports, and system metrics.
They intervene through committees, escalation meetings, experienced officials, and informal coordination.
Failures are analysed after the fact through reviews, commissions, and inquiries.
What remains largely absent is a shared, explicit understanding of government anatomy.
Because ministries, agencies, and governments appear different externally — in mandate, size, political context, and legal structure — it is widely assumed in practice that each has a fundamentally different internal anatomy. As a result, governance depends heavily on local interpretation, institutional memory, and individual experience. Systems multiply, reforms repeat, and control remains fragile.
This is not a failure of intent or intelligence. It is a structural blind spot.
The ICMG Enterprise Anatomy™ model emerges directly from this parallel. It is not theoretical and it is not prescriptive. It is observational. It is derived from the systematic examination of more than 3,000 enterprises and government institutions across the United States, Europe, the Middle East, Canada, Australia, and India over 30 years. These observations span private enterprises, public sector bodies, regulators, ministries, and national programs.
Across these contexts, one pattern repeats consistently. While organisational forms differ, execution anatomy does not. Strategy must exist. Processes must translate intent. Systems must enforce logic. Components must be specified. Implementation must occur. Operations must sustain outcomes. When these anatomical layers remain implicit, execution relies on memory. When they are explicit, execution becomes structural.
This is the same transition medicine underwent in the nineteenth century.
Why This Is a Series — Not One Article
Government failure does not originate in a single institution or function. It emerges across distinct but interdependent governing domains of the state. Treating these failures as one undifferentiated problem recreates the same confusion governments already face internally.
To avoid that, this reasoning is organised into five focused parts. Each part examines one governing domain clearly and precisely. Together, they describe how the state actually functions — and where it breaks.
Each part can be read independently. Reading all five reveals the full anatomical pattern.
Part 1
Whole-of-Government Direction & Fiscal Control
(Where money, incentives, approvals, and national direction originate)
This part examines the centre of government, where strategy is defined, budgets are allocated, digital mandates are issued, and coordination is expected to occur. It explains why financial control does not come from more systems, why digital government does not automatically create alignment, and why executive authority increasingly relies on escalation and institutional memory.
This is where policy intent is formed — and where fragmentation first appears when anatomy is missing.
Part 2
Rule of Law, Security & Institutional Authority
(Where authority is enforced and trust is preserved)
This part examines how authority is applied in practice. It explains why more case systems do not guarantee justice, why surveillance does not ensure security, and why enforcement weakens when authority flows are implicit rather than structural.
This is where policy becomes law — or quietly dissolves.
Part 3
Human Development & Social Delivery
(Where policy becomes lived outcomes)
This part examines how citizens experience government across life stages. It explains why schemes multiply without convergence, why delivery depends on discretion and memory, and why outcomes improve locally but fail nationally.
This is where fragmentation is felt most directly by people.
Part 4
National Infrastructure, Cities & State Continuity
(Where the state must remain operational under stress)
This part examines the physical and operational backbone of the state. It explains why infrastructure appears stable until stress hits, why projects succeed but continuity fails, and why cities become harder to manage as they scale.
This is where the state proves whether it can function under pressure.
Part 5
Trade, Procurement & Administrative Execution
(Where policy must translate into disciplined execution)
This part examines how policy is executed at scale. It explains why rules proliferate while discretion dominates, why platforms integrate while control weakens, and why disputes and delays replace predictability.
This is where policy either becomes execution — or collapses.
What This Series Is Actually About
This series does not propose a framework. It does not introduce a methodology. It does not recommend a new governance model.
It does something more basic.
It makes the anatomy of government explicit — in the same way anatomy made medicine possible.
The five parts that follow examine five governing organisms of the state. Each shows how modern systems, platforms, and reforms fail when anatomy is missing — and why control returns only when structure is understood first.
One Government One Anatomy,
These five parts are not a framework, a reform sequence, or a maturity model. They describe the existing anatomy of government, whether it is recognised or not.
When this anatomy remains implicit, governments rely on experience, escalation, and institutional memory. When it is made explicit, governance shifts from people to structure, from reaction to control.
That shift — from systems to anatomy — is the reasoning this series sets out to make visible.




