Top down management. People who have no understanding of the process dictating how many people are supposed to do it. And adding useless tasks that secretaries

Top down management. People who have no understanding of the process dictating how many people are supposed to do it. And adding useless tasks that secretaries could handle to the professionals task list, because "computers can now do it". Which, what anyone who has worked with computers, can tell that is horseshit. A menial task is a menial task and will cause interruption of flow no matter what. And, since the expert is not so good at the typist thing, it will actually take a lot more time for him to do the typing. So, we have, the time the expert uses t_e, the time of the secretary t_s, and the multiple of time that the expert will spend on the secretaries task. At high enough multiple of cost it would always be cheaper to have a secretary to do the typing. And, it's not only the wage difference. There is also the cost to the organization for not implementing all of the workload that they could implement, if all of the experts were firing on all cylinders. Especially in public health care these negative externalities can be considerable (I imagine).