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> At Walgreens, many pharmacy managers began reporting to a districtwide retail supervisor rather than a supervisor trained as a pharmacist. “It coincided with more pushing of the metrics,” said Dr. Sarah Knolhoff, a Walgreens pharmacist from 2009 to 2022. “Never having been a pharmacist, they would push the pharmacy the same way they would push the front end,” Dr. Knolhoff added, alluding to the rest of the store.

> Dr. Wust said hospital administrators increasingly relied on management theories borrowed from other industries, like manufacturing, that sought to minimize excess capacity.

The best trick the devil ever pulled was getting an MBA.

But you gotta wonder, as the MBA types have parents suffering through the systems they themselves create if they'll realize that they are their own worst enemies? The irony here is so thick and tasty and deeply, deeply sad.

> said consolidation and the increased use of metrics had arisen in response to a need to lower U.S. health care costs, long the world’s highest per capita, and ensure that the spending actually benefits patients.

A bald-faced lie. The enemy has always been the lack of price transparency.

The way to get action is to force our representatives to dog-food what they allow on workers.

The enemy is a for-profit, privatized healthcare system. Few patients can effectively compare medical services

Many are ill and in no position to shop around. Look at assisted living facilities: A recent NY Times article talked about how they jack up prices on individual services. How can someone in an assisted living facility shop around and leave unless they have family to help? And even with family help, moving a weakened, ill, elderly relative can be very difficult and stressful for them.

Unionizing isn’t just for the poor. NBA players are unionized. Openai employees were effectively unionized overnight.