One more comment. I mentioned above the FSU. I'll do it again, because clearly there are similarities. In the FSU, a good apparatchik was one year a minister of culture and another year - minister of agriculture. In the present US, a "good" manager (someone who is good at squeezing people) is one year a CEO of a plant and another year a CEO of a hospital. Yes, NYPH hospital has now a CEO who is has an MBA and who isn't a physician.