I stole it from Jean Fraser, who used to run the San Mateo County health system.
Who is best positioned to be the responsible actor here or accountability lever?
-
-
Great question. Why are European public sector unions, eg in public transportation, so much more cost effective while still having (relatively) generous pensions and pay (and similar sometimes unsavory hiring practices)? Probably because of national welfare states.
-
The key variable here probably isn't unionism (though maybe narrow vs broad sectoral unionism matters). Federalism sucks.
End of conversation
New conversation -
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

