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>It's easy to say that "costs are too high" - that's fine, but where are they too high?

I have two (totally anecdotal) answers, from my own experiences and those of my former partner, who spent 15 years working in hospitals:

1 - Administrative overhead. Especially with billing and insurance. 2 - Practices, procedures, and policies to prevent lawsuits. Needless waste, lack of reuse of items that could be cleaned, and safely reused, high premiums for malpractice insurance, training efforts and refusal to make decisions out of fear of suits.




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