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ms.akkineni
ms.akkineni
3/15/2016 11:10:23 PM
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Platinum
Re: paradox
 the future for small providers is difficult and most are joining larger systems, being acquired, or closing down.

@DHagar:

Can't agree more with you. This trend has become more common these days. We are hearing such stories on daily basis. Survival has become a big challenge for such small companies. Pretty obvious scenariois - they must compete with mainstream. Often times that becomes a chanllenge for multiple reasons and limitations on their end. Several of those small shps are getting lucky in terms of an opportunity to join a larger system while others are setlling the other way around accepting a not so pleasant end to their story.

 



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ms.akkineni
ms.akkineni
3/15/2016 11:01:13 PM
User Rank
Platinum
Re: paradox
@DHagar:

Now with leading companies like Apple, Cisco, AT&T, Huawei, et al, you can see that they embrace winning as a result that comes from being the best.  That is the kind of competition that is good and embraces the best of winning.


Awsome analogy in your post. I just quoted this statement because i am completely inline with the concept of winning as you mentioned here. For that exact reason I consider Apple as the biggest winner of recent times and 'Steve Jobs' as the greatest visiionary who left behind him an era of invention to this world which is never to be forgotten for sure. I truely believe that is WINNING.

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DHagar
DHagar
3/15/2016 7:48:38 PM
User Rank
Platinum
Re: paradox
@mpouraryan, thoughtful points, as always!

Here are some thoughts in response:

- Winning is everything - agreed in the terms of Lombardi - it depends on your definition of winning.  If it is being better than your opponent, and therefore outperforming your opponent, that is a great goal.  If it is winning at all costs - playing at the edge of the rules, trying to destroy your opponent - you may win occasionally but you will not be a champion.

- For a good part of the last century, we solely defined winning in business by short-term gains, stock prices/value, etc.  And the debate has been how we can maintain incentives to win in the long run and build better business and companies.
It seems that due to the rapid pace of change that the debate has changed and that the model of success is pursuing winning by being the best player in the business game providing the best products and services.  Now with leading companies like Apple, Cisco, AT&T, Huawei, et al, you can see that they embrace winning as a result that comes from being the best.  That is the kind of competition that is good and embraces the best of winning.

So I think we can recognize and put up for examples the leading companies and the leaders/management that truly strive to build better products/services and companies - that wins in the long run.

 

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mpouraryan
mpouraryan
3/15/2016 7:25:11 PM
User Rank
Platinum
Re: paradox
Winning is the only thing, as Lombardi reminded us.   The problem, though, is that the power of choice becomes less and less--and in the end what is aspired for in terms of service suffers in the end.   

How do we change it?

 

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DHagar
DHagar
3/15/2016 5:21:20 PM
User Rank
Platinum
Re: paradox
ms.akkineni, great perspective.  Yes, everyone wants to win, but the winners will be those who effectively deliver better goods and services and winning will be the result that others are trying to achieve.

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ms.akkineni
ms.akkineni
3/15/2016 5:12:57 PM
User Rank
Platinum
Re: paradox
@DHagar:

Absolutely in agreement with you. Lot of that is due to the time race.

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DHagar
DHagar
3/14/2016 1:55:04 PM
User Rank
Platinum
Re: paradox
@Ariella, indeed - small providers cannot make the required investments on top of running their practices.  And hospitals don't have the economies of scale. 

I think that's one of the potential downsides of what we are creating.  Some of those private doctors and small hospitals have truly provided good care.

I fully agree, the future for small providers is difficult and most are joining larger systems, being acquired, or closing down.

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DHagar
DHagar
3/14/2016 1:51:36 PM
User Rank
Platinum
Re: paradox
@batye,  "doing things first and thinking later" - Canada is not alone - we do that too!

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Ariella
Ariella
3/14/2016 1:50:56 PM
User Rank
Author
Re: paradox
<on the other hand in my family during funerals each member follow they own religion tradition... it normal for us... but funeral directors sometimes get lost >@batye I'd imagine that could be somewhat confusing. I supose they think they're trying to cover all the bases, just in case.

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Ariella
Ariella
3/14/2016 1:47:46 PM
User Rank
Author
Re: paradox
@DHagar yes, it's too much to keep up with for smaller practices. The same holds true even for hospitals. The larger ones have been acquiring smaller ones. In fact, the hospital in which one of my kids had a procedure is sought after by two competing hospitals on Long Island. But so far it has resisted the takeover offers.  I did, however, recently notice while passing it in the car that another local hospital was taken over by one of those larger names. I think that was fairly recent.

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