A new essay:

The autonomous, self-directed doctors produced by our medical schools are not suited to treating complex patients. Instead, what we need are team players, implementing consistent corporate policies. Independent skilled craftsmen, flying by the seat of their pants, can add a deck to your house. That will not work for building a skyscraper.

It’s an extended essay giving my thoughts on health care from a business process perspective. I still carry a lot of anger about the way my father’s course of treatment went.