Indeed I pressed the button “send message” too soon for my essay on medical care improvement. So here is the correction you asked for.

I don't get either

a) a clear message of what the main thrust of this is about (the only clear
message is "Here is someone getting hot under collar about medical things and
lawyers". So can you clarify it all, please?

When government replaces the proper, qualifying aspect of a voluntary community with one that is inappropriate, the community suffers.
,  it is an unmistakable proof of the retrograde tendency of all modern totalitarian political systems that they attempt to annihilate the process of cultural differentiation and individualization by a methodical mental equalizing ("Gleichschaltung")  of all cultural spheres, thereby implying a fundamental denial of the value of the individual personality in the opening-up process of history.Progress & reaction P.33
Since the process of cultural differentiation leads to an increasing typical diversity of cultural spheres,  there is a constant danger that one of these spheres may try to expand its formative power in an excessive manner at the expense of the others.  P.34
…this cultural harmony can be guaranteed only if the process of historical development complies with the normative principle of cultural economy which forbids any excessive expansion of the formative power of a particular sphere at the expense of the others.p.35

b) a clear idea of how all this relates to sphere sovereignty. Please can you
make that much more explicit. What spheres are you specifically talking
about, and are you saying "X sphere is dominating the sovereignty of Y

When people replace the moral aspect with the economic or the juridical aspect to qualify medical care organizations, they destroy its proper function. Take-over by either state or commercial Health Management Organizations for profit brings corruption, poor medicine and unnecessary suffering and death. State power cannot beget conscientious care. Excessive price leaves millions without care altogether. Both attempts of the state tp take over voluntary communities for care violate their sphere sovereignty.  As Dooy wrote: As soon as these bounds are ignored in the opening-up process of human culture through an excessive expansion of the formative power of a particular cultural sphere, disastrous tensions and conflicts arise in human society.  This may evoke convulsive reactions on the part of those cultural spheres which are threatened, or it may even lead to the complete ruin of a civilization,p.35

c) a clear idea of whether you are trying to apply sphere sov to medicine or
trying to illustrate sphere sov via medicine

Due to their unique qualifying aspect of love, medical care communities must be allowed to retain their inviolate sphere sovereignty. All alternatives are sinful.

d) and similarly, whether you are just having a 'rant' and find the notion of
sphere sov useful, or whether you are trying to discuss things generally.

I am appalled by the disastrous developments in medical care, hence my ”rant.”  The suffering due to preventable  mistakes, carelessness, negligence, lack of time,  “business pressure”, dependence on expensive equipment rather than history taking and physical examination. Much of all this can largely be prevented.

I have a caseload of examples for all these disasters, accumulated over a period of half a century. Maybe someday I will share with this you, if anyone is interested in it. Let me just mention that we lost our son at age 44, through cancer, unrecognized because of no investigation of a bleeding, a brother in law in Holland through cancer, not properly treated, a sister in law in Canada, whose cancer was overlooked two years ago and who now is going through a horrible session of chemotherapy. In the US I lost a friend through unrecognized peritonitis, another of the same due too a perforated bowel during an accident, a niece whose skull was crushed with a forceps during delivery by a doctor in a hurry, etc. etc. All this and much more goes back over a period of fifty-nine years since I graduated.

Please add this to my previous effort to give people better medical care.
Magnus Verbrugge. March 2001.