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I wish there was anything close to this in healthcare.

Most medical group meetings are:

a)A small number of people that understand the issue (generally specialists) being drowned out by:

b)A large number of people with a vague understanding of the issue (related specialists and generalists)

c)A number of people with no understanding of the issue with the most political clout (administrators)

And then a final decision made by the least knowledgeable, most political administrator with the most vested interests.