There's no reason we have to pay three levels of private administration; managers, directors and executives. Suggesting the doctor would be treated (what sounds like) a doctor in Cuba isn't what's being suggested.
We don't have to pay three levels of administrative hierarchy with Medicare, Medicaid and the VA. It's reflected in their administrative cost ratios. We don't sell stock in these services so there isn't a shareholder demanding profit that would make these services cost more.
As for the $150 hammer, nobody wants to see that kind of stuff. That said, it took the mistake or the intent of the private sector to bill that price. Management never sleeps. Improvement never ceases. You and I aren't as polished as we'll be in the future. People improve, it's natural order. We found that $150 mistake and fixed it.
Compared to the private sector where barely 2% of new businesses make it past their first year. I'm not knocking private initiative but it ain't as easy as it appears. One of the biggest complaints of failed business owners - Walmart. Not just the store, not just the family. It's a way of life for big business and if you're not buying volume from China, you're facing less market share. It's not just that it's cheaper in China, it's that Walmart et al are buying so much at far less cost.
The favors are going to big business. For the last 30 years, most of the Small Business Administration's loans have gone to Fortune 1000 companies.
We don't have to pay three levels of administrative hierarchy with Medicare, Medicaid and the VA. It's reflected in their administrative cost ratios. We don't sell stock in these services so there isn't a shareholder demanding profit that would make these services cost more.
As for the $150 hammer, nobody wants to see that kind of stuff. That said, it took the mistake or the intent of the private sector to bill that price. Management never sleeps. Improvement never ceases. You and I aren't as polished as we'll be in the future. People improve, it's natural order. We found that $150 mistake and fixed it.
Compared to the private sector where barely 2% of new businesses make it past their first year. I'm not knocking private initiative but it ain't as easy as it appears. One of the biggest complaints of failed business owners - Walmart. Not just the store, not just the family. It's a way of life for big business and if you're not buying volume from China, you're facing less market share. It's not just that it's cheaper in China, it's that Walmart et al are buying so much at far less cost.
The favors are going to big business. For the last 30 years, most of the Small Business Administration's loans have gone to Fortune 1000 companies.