Thursday, January 12, 2012

aloneness


It works.  Well. 

Great and wild idea: 
You don't have to lead alone.  Mayo uses the "dyad" approach--a physician paired with an administrator.  Physicians, left to their own leadership devices, will run the programs in such a way that they provide great care, and the place goes out of business.  The businessmen (administrators) will run it in a way that makes good money, and quality suffers. 


Sharing power is hardly new.  In republican Rome, the Senate elected two consuls, who led the government as co-equals.  Yes, there are times that approach breaks down (study your Roman political history, and find the original meaning and utility of a "dictator.")  But overall, it works more often than it fails.  

Nota bene: The study of history is the study of what worked and what didn't.  As such, it's really an operator's manual for the present.  Just sayin'.


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