upvote
That’s really only a rather small part of the picture.

Hospitals are opex constrained for things that don’t generate revenue. The operations run lean and are focused on operating. There’s no bench in finance or IT or whatever to figure stuff out. Enter the consultant.

Consulting is often tied to capital spend and most importantly they go away when the job is done.

reply
Which immediately begs the question, how do you become one of these faceless people waving vaguely in the air saying "fire a whole lot of people, that should mean you spend less right?"

I submit my thesis. The PE/consultant class. A crust of slime buoyed about on the waves of capital to provide cover for the horrors underneath.

reply
I think you can only get in this position if you're already playing golf with enough CEOs. Over golf the CEO casually mentions he wants to fire 30% of the workforce but he doesn't want the flak. Then you suggest you could write a consulting report on it.
reply
deleted
reply
deleted
reply
Consultant... Hmm Reminds me of Barney's P.L.E.A.S.E.[1] acronym for Provide Legal Exculpation And Sign Everything.

1: https://youtu.be/ZfWVV533RHE

reply
That’s not the only reason the other reason is these processes and ways of doing things are so bureaucratic and hard to navigate that you actually do need very specialized information from consultants that it’s not easy to come by
reply