Who Comes Later Gary? It Doesn't Matter.

Boston is abuzz alongside speculation equally to who volition live on chosen to succeed Gary Gottlieb equally he steps downwardly from the helm of Partners Healthcare System.  WBUR's Martha Bebinger noted:

No affair how innovative or entrepreneurial a theatre mightiness accept been at its start, 1 time it is has been inwards being for around fourth dimension in addition to has an established house inwards the social economy, its finish inwards life is to persist.  It leaves the basis of innovation, oftentimes loses its purpose, in addition to exists but to exist, i.e., to encompass its costs.  Often this is a reflection of the corporate hierarchy, where, sadly, leaders lose their feel of providing truthful value to their customers, intent instead on aggrandizing their ain seat in addition to preserving their status.  The theatre no longer reflects the inventiveness of risk-taking, becoming a bureaucratic trounce of its sometime glory.

Especially then when the theatre has a dominant marketplace position, aided in addition to abetted yesteryear authorities policy, insurance companionship timidity, in addition to an apathetic trouble concern community.

Perhaps modify could come upward from within, but at that spot is picayune or no involvement inwards modify from the faculty inside the large academic medical centers at Partners' flagships, Massachusetts General Hospital in addition to Brigham in addition to Women's Hospital.  They are basically content alongside their exalted condition inwards the basis of clinical care, education, in addition to research.  Their clinical practices are fed yesteryear an extensive network of primary attention physicians in addition to community hospitals.  Their seat vis-a-vis undergraduate pedagogy at Harvard Medical School in addition to graduate medical pedagogy inwards their fields is secure.  Their laboratories are amply supported yesteryear grant funding and/or departmental back upward from their hospitals.

So, if you lot are on the board of trustees of Partners searching for a successor, you lot produce non attempt an agent of change.  You attempt around other individual who volition hold the status quo alongside regard to marketplace dominance, finances, faculty relations, in addition to land politics.

The but means this organization volition diverge from the path it has maintained is if at that spot is decisive activity that forces structural change, that recognizes that the electrical current construction is harmful to the land economy, dull moving alongside regard to advancement of clinical expertise that would trim impairment to patients, in addition to inimical to the advances that would come upward from existent competition.  Such activity would accept to come upward from the government, the insurers, or the trouble concern community--or amend yet, all of them together.  Until or unless it does, aspect a clone to live on appointed equally the adjacent CEO.

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