As organizations grow in size and complexity it is nearly impossible to muzzle the tendency to direct and/or control behavior by the promulgation of rules and regulations. Rules are often confused with rationality, objectivity, and fairness.

“No tendency is quite so strong in human nature as the desire to lay down rules of conduct for other people.”

William Howard Taft ________________________________________________________________

In the next few decades the medical/healthcare bureaucracy will see cancerous growth. Eisenhower’s concerns regarding the military/industrial complex will look like a walk in the park by comparison. No matter your view of the Affordable Care Act, a.k.a. “Obama Care” or its intentions: Rules and regulations will proliferate. It will be inevitable, invasive and omnipresent; and a care crippling bureaucracy will be in full bloom. Process will trump service.