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US Govahmint and Big Business: A Sinister Alliance Against MedicineFrom: Bert Gold (bgold@itsa.ucsf.EDU)Sun Apr 14 11:46:19 1996
FYI, William Deming was an American Management expert whose philosophy that workers know best how to improve the quality of their products is widely credited with the rebirth of the Japanese economy after it lay in ashes at the end of World War II. His ideas concerning 'Total Quality Management' experienced a resurgence in the late 1980s in the US, after the publication of David Halberstam's book 'The Reckoning' which detailed the decline in the US Auto. industry vis a vis the Japanese.
>From sokol@jhuvms.hcf.jhu.eduMon Mar 4 12:54:46 1996 Bert,
RE:
>I don't question your analysis, but I wonder why Deming principles I asked a somewhat similar question Vincente Navarro of the Hopkins School of Public Health who served as an advisor on a Clinton-appointed team to draw plans for the health care reform. He held a seminar on that issues here at Hopkins, during which he expressed the view that corporate America was pretty much against the reform, especially of its single payer version of which Professor Navarro was a big fan. I raised the concern that such behavior seemed not to be very rational, at the very least, since corporations could save big on shifting the health insurance expenses on the state. To which Professor Navarro replied that this was what the rat-choice theory would predict, but in real life corporate managers are willing to forego savings in exchange for control over labor that health insurance gives them. Transferring health insurance to the state would save them some money, but it would also take away and importat leverage they now have against the labor and unions. Such union busting, confrontational attitudes deeply penetrate the US corporate culture and the academia. I am yet to meet a US born and trained economist, a political scientist, or a manager (save a few econo-pariahs at the Dollars & Sense collective) who is clearly pro-labor. It would be pretty much interesting to see how such an animal looks like. regards,
-- wojtek sokolowski <sokol@jhuvms.hcf.jhu.edu>
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