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The difference is that in our case, management is almost always medically trained, right up to the hospital administrator. That’s changing a bit, as some schools are offering specialized advanced degrees in hospital management. I don’t like it. I think the Navy has it right that only a pilot should command an aircraft carrier. Only a doctor, preferably a surgeon, should run a hospital.”“Preferably a surgeon?” I asked.“Pill-pushers have a very different perspective. And someone with an MBA or a Master’s in Hospital Administration is too focused on costs, and not enough on care, in my opinion. Fortunately, the JCAH keeps them honest.”“JCAH?”“The Joint Commission on Accreditation of Hospitals. They’re actually based in the western suburbs. They review every aspect of the hospital and they have some pretty exacting standards that have to be met. That keeps the paper-pushers and bean counters in check.”Belinda got up to check on dinner, and announced that it would be ready in about two. “That’s why I’m so upset. You’ve got a really rough day set for today.” He paused and took in a deep breath before saying, “I thought I was just your Master back when I set it up.”She reached over and placed her hand on his. “How bad?”“Forty-six with a cane,” he answered. “Lucinda’s Schooltime Fantasies is sponsoring today” he explained. “They run several adult fantasy camps specializing in school fantasies. Lucinda plans to present a series of schoolgirl/schoolboy role-play scenarios. At the end of each scene, the Master or Dominatrix playing the teacher disciplines the students... including you. I’m not sure what happens to the others, but by the end of the last scenario, you will have gotten forty-six of the best– probably all with a cane.”“I took forty-six of that robot’s best,” she said firmly. “I can handle it.”“But that was a machine programmed to hit just hard enough to raise a welt,” he said. Concern was evident on his face. “This will be someone playing teacher who’s.
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