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  That isn't inappropriate. And for "returns" read status, autonomy and a large salary, and then you have the senior health professionals instead. It is all semantics - what we have is a top heavy largely autonomous organisation with reduced accountability nd that has lead to poor quality services overall. In what way would the terms you use be so different as to be unacceptable? Life, organisations and business are all built on trade-offs and mutual benefit. What is the difference?

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