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Hospital Administrator

December 29th, 2001


In

the

beginning

there was the

Hospital Adminis-

trator And He said,

“Let there be others to do

My work, that I might watch

over them”. And so He created as-

sistant administrators, each with the

power to beget others to do his work, that

he, in turn, might watch over them. And so that

they could better serve Him. He created offices. And

in each one He put a plush carpet, a desk, a secretary,

and an exotic plant. And He looked and saw that it was good.

But soon a fear grew in His heart, that all His assistants

might rise up against Him. So He created Red Tape that

one office might not know what each other was doing.

And His administration became the Tower of Babble.

And so it was when came the Great Fiscal Crisis,

and it was decreed that all unnecessary

positions would no longer be funded.

One by one, assistant Directors,

found redundant, were cut,

until there remained,

alone, the Hospital

Administrator to

do His own

work, and to

water many

exotic

plants.

By: Richard H. Greif, M.D.

New England Journal of Medicine Vol. 300,

No. 10, p. 569; March 8, 1979

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