I guess I shouldn't have singled out the Mayo Clinic but the same point applies to McAllen or any other Examplery institution. You can't build a solution by as

I guess I shouldn't have singled out the Mayo Clinic but the same point applies to McAllen or any other Examplery institution. You can't build a solution by assuming hospitals will have excellent management because most won't (which is why the one's who do are considered excellent in the first place)