This giving up control is not confined to the medical profession - education (my husband was probably a disruptor in the ed field - the state DOE sent someone to visit with him after he filled out a survey they sent). And Congress giving control to a beauracy is probably the biggest example. Good article
This is a great piece that really hits home on what is wrong with the healthcare system as medical institutions have not changed their curriculum to include these valuable skills that are a must for every doctor. Thank you for writing this piece and sharing your valuable insight, Michael.
What strikes me most is how clearly you connect individual, seemingly rational decisions (take the employed job, tolerate one more non-clinical mandate, sidestep one more confrontation) to a collective outcome where physicians no longer set the terms of care. It’s a reminder that “loss of the room” wasn’t a single coup by administrators but a decade-plus of incremental concessions that rewired incentives and culture.
This giving up control is not confined to the medical profession - education (my husband was probably a disruptor in the ed field - the state DOE sent someone to visit with him after he filled out a survey they sent). And Congress giving control to a beauracy is probably the biggest example. Good article
Definitely, control shifts to those who show up.
This is a great piece that really hits home on what is wrong with the healthcare system as medical institutions have not changed their curriculum to include these valuable skills that are a must for every doctor. Thank you for writing this piece and sharing your valuable insight, Michael.
What strikes me most is how clearly you connect individual, seemingly rational decisions (take the employed job, tolerate one more non-clinical mandate, sidestep one more confrontation) to a collective outcome where physicians no longer set the terms of care. It’s a reminder that “loss of the room” wasn’t a single coup by administrators but a decade-plus of incremental concessions that rewired incentives and culture.
Leadership gaps in healthcare create long term consequences.