Administrative Issues in Health Care Reform

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Abstract
For many physicians, the report by Woolhandler et al.1 on hospital administrative costs in this issue of the Journal will merely confirm their personal experience with the “suits and suites” syndrome -- the apparent proliferation of well-appointed administrators and their office space in health care facilities of all varieties. From the standpoint of most physicians, it matters little that such administrators are often hired to help clinicians and patients negotiate our complex health care system. When added to the daily harassment from third parties questioning clinical decisions, the suits and suites syndrome only increases physicians' growing demoralization and anger over . . .

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