Random Cruelty

After reading Nick Gillespie’s oh-so-apt description of Medical Maladjuster Majordomo Dr. Donald Berwick as “Harvard’s latest train wreck of an appointee,” I was overcome by a cruel idea. It goes a little like this: Why not make forbid any and all Ivy League grads from taking government jobs, elected or appointed?


But then, of course, you have to ask yourself, “What did the private sector ever do to deserve this?”

So how about something slightly different: Ivy League grads will be permitted only to work for –wait for it– Ivy League institutions? Sure, there’s not much room for advancement, but with those massive endowments, they have plenty of wealth to spread around. And that’s good for everybody, right?

Anyway, just something to think about while I work on making some radio and TV and stuff today.

UPDATE: I just now got around to reading the actual article Nick quoted, and get this bit:

“In America, the best predictor of cost is supply; the more we make, the more we use—hospi tal beds, consultancy services, procedures, diagnostic tests,” Dr. Berwick wrote. “… Here, you choose a harder path. You plan the supply; you aim a bit low; you prefer slightly too lit tle of a technology or a service to too much; then you search for care bottlenecks and try to relieve them.”

That’s right — the way to reduce prices is to –wait for it, one more time– decrease supply!

It must take a major IQ and a Harvard degree to wrap your brain around that one.



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