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Politics : View from the Center and Left
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To: JohnM who wrote (36445)4/18/2007 12:09:48 PM
From: epicure  Read Replies (1) of 542149
 
Well
delegation is a funny thing.

If you want things done right, you do it yourself. If you delegate, you know it's going to be different. Oversight is never the same as actually doing the thing yourself. Oversight can catch problems, maybe, but it's no substitute for good management. It makes sense to me that a not for profit is going to be less interested in shorting patients to save a few bucks, than a for profit is. That's just the way it is. Oversight won't cure that kind of structural incentive to take money from the patient, and give it to the shareholders, or owners, or whomever.

So while oversight was a problem, having for profit company take over a system that probably worked better as a not for profit, is the root problem, imo. Some businesses work better as for profit, some don't- the good state is all about finding the balance. I don't happen to think health care responds very well to the profit motive.
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