Mania for management

It is bad enough that spending on health "managers, administrators, supervisors and clerical staff" etc has reached $500 million but don't forget the added burden as these people extract their pound of flesh from the frontliners. With extra bureaucracy comes more analysis of systems, more paperwork, more meetings, more change for the sake of change. The productive time of medical staff is reduced. No wonder the government has put 50 percent more in and got less out.