"Isn't it all but obvious (Enron, etc. etc.) that policy makers can and do corrupt companies, despite the very best efforts of lower-level managers and front-line workers? "
Sjoe you're absolutely correct in stating that often CEO's etc of companies can be at the root of problems , but who becomes these CEO's? WE DO. Unfortunately, there are corrupt sheriff's departments, state reps, company presidents everywhere. If a lower level manager can effect change, why not do so? All of us work in order to make money, including the company. Is there a problem with making a profit? Isn't this America? I dont mean that we should place profit before our responsibility to provide good health care, but lets face it folks, if we didn't get paid, we wouldn't be working (at least unless we're very rich!) As for the loss of benefits, etc., don't you think that the sheriff's depts (just using them as an example) is aware of what will happen when they decide to bid out their medical care?
You stated: "Interesting to learn from you that the CEO, board of directors, and other honchos of private corporations have nothing to do with the "goodness" of a company. "
THAT'S NOT WHAT I SAID!!! Please don't misquote me. No company is perfect, but not all are as awful as has been portrayed. Yes, there are reports of inadequate care, neglect, etc., and yes, there are abuses out there, but, Call me Pollyanna, I feel that these are not reflective of the entire industry.
By the way, states and counties are even farming out the Business of running the jails and prisons to private companies---why?? To save money.
Thanks for your opinion. I have worked very hard in my facilities to counter the negative feelings about "contract medical" by providing a high level of professionality in my medical departments. It's good to hear exactly what people are thinking that causes these negative opinions. I have my work cut out for me, I guess.