"The Most Complicated Piece of Health Care is the Revenue" (Say What?) - The Shameless Managerialism of a Hospital CEO

Introduction Managerialism , in my humble opinion, is one of the major reasons why the US health care system is so dysfunctional.  We have ...

Part of the Solution, or Part of the Problem? - Health Care Corporate CEOs on Physician Burnout

Physician burnout is in the news again.  Late in 2015, an article by Shaneyfelt and colleagues in the Mayo Clinic Proceedings showed an incr...

An eloquently expressed lesson from Nanaimo (Canada) on electronic medical records failure

Unfortunately, this eloquent piece on EHR failure expresses precisely the major problems with this experimental technology that generic medi...

Health Care Managers as Ever More Effective Value Extractors - Following Up on Novant Health and Cape Cod Healthcare

The ever increasing compensation of top managers of health care organizations provides incentives to continue business as usual.  We have f...

Not Going to Take it Anymore - Doctors in the Pacific Northwest Unionize, Begin Collective Bargaining with Hospital Systems

We have posted about the plight of the corporate physician .  In the US, home of the most commercialized health care system among developed ...

Generic Management of Health Care Non-Profits, Brought to You by Leaders of (Sometimes Failed, or Bailed Out) Finance on the Board?

Introduction - Managerialism  We have frequently posted about what we have called generic management , the manager's coup d'etat , ...