As Steve likes to say, it’s all in who gets to make the decisions.”“And bureaucrats are the LAST ones I want to do that, whether they work for t...e government or insurance companies,” I said. “It’s why Al is so vehemently opposed to anyone who is not an actual, practicing physician being in management anywhere in the hospital, except perhaps custodial services! He objected to the new CFO being a pure finance guy, and his logic was sound. This isn’t, and can never be, purely about ‘bean. The shaman we had was a very good man. He was constantly looking out for our interests. I had heard of some shamans who were scoundrels and spent most of their time stealing or otherwise mistreating the people in their care. One day, the shaman asked me to stop by his ceremonial hut—he had something to discuss with me.I showed up at the appointed time, and he invited me into the hut. He said, "I am getting old; I must be close to 40 years old, and I feel every day of it whenever it rains. I. More

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