What is a major problem with this country? The interns have broken out of the accounting department!!! (one bean for you, two beans for me - one bean for you, three beans for me -one bean for you, four beans for me, etc...)
Bob Lutz, President of Chrysler Corp. etc... is the author of ''Car Guys' vs. Bean Counters: The Battle for the Soul of American Business'. He was a car guy who saw the results when the bean counters hold sway:
"But then GM's leadership began to put their faith in analysis, determined to eliminate the "waste" and "personality worship" of the bygone creative leaders. Management got too smart for its own good. With the bean counters firmly in charge, carmakers (and much of American industry) lost their single-minded focus on product excellence. Decline followed."
"A common theme in the book - and as eluded to in the title - is the role of the over-analytical wave of thinking (primarily driven by MBA's) which was a contributing factor to the demise of GM. Bob also covers the other factors, that led to the eventual Chapter-11 filing, including rising fuel prices, staggering health insurance costs etc."
At least the auto industry had some choice. But my recollection was the cars seemed the same (while breaking down). Management would be on one board then on the board of a different auto company - until companies like Toyota came in and blew their doors off!
So what would one area of medicine look like if the "accounting interns" (aka MBAs) came in and gathered up all the dialysis clinics? Dialysis clinics by themselves are small monopolies, like utilities, and many times are the only option in a geographical area. Factor into that a kidney dialysis patient only really has two choices: get dialysis or die!!! Sounds like an monopolistic accounting intern's dream! Customer service, who needs that crap! Take all those little monopolies and make one big monopoly! I'll reiterate, what would this look like? Here is a picture. Someone needs to write a 'Medical Guys vs. Bean Counters' book (maybe someone has, but we will see).