[mhardcastle]

In most companies, "operations" staff is among their lowest-paid: customer service, cashiers, bank tellers, factory workers, etc. They are used to constant adherence to strict metrics.

Medical care is strange in that the operational staff includes doctors, who will bristle at their expertise and years of schooling culminating into being judged on how many reviews (or appointments) they can churn through.

It's an interesting issue that I sense naturally causes this kind of conflict.

[resource_waste]

The reason this is so incredibly bad, is that there is no competition in Medical.

Each special interest group carved out a chunk of taxes and Power, and now they seek to expand through taxation or higher prices/lower quality.

I own a clinic and our most maligned incentives are that medicaid patients have basically free care, so they will somehow find themselves getting more visits than someone who has private insurance is paying out of pocket until deductibles are met and is much more cost conscious.