Tag Archives: hospitals

How Many Doctors Are Needed to Run a Hospital?

When I was a resident physician the chief of cardiology often argued that there should only be two departments in a hospital – medicine and trauma. I’ve often thought about that view over the ensuing decades as the number of medical specialties proliferated like mushrooms after a downpour. How many specialties would be needed if…


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Don’t Look Back

The most poorly managed institution in modern western society is the hospital. I say this after half a century of steady exposure to hospitals of all sorts. I was a student, resident, fellow, staff member, section chief, department chair, chief of staff, and even a patient. Inertia at all levels was unconquerable. Newton’s first law…


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IRS Should Force Churches to Pray More

A new report by the IRS has documented that most not for profit hospitals don’t take care of poor people. The author of the report could have asked his mother and she’d have told him that hospitals only take care of non-payers at the point of a gun and she’d have done so at no…


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Why Nothing Works

The title is a bit hyperbolic – almost nothing works. Good service usually can not be purchased at any price unless you are in the billionaire class. Why do businesses that provide only a service – like the airlines – perform so terribly? In this case (airlines) it’s our fault. We don’t want to pay…


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