I don't have any data on the other managers accounted for in the study linked below, but I do have some information on access. Click on the link below to view a pre-Hurricane Ike document written by UTMB administration and all about denial of access to the uninsured. (UTMB administration prefers to blame Hurricane Ike for this round of denial of care to the indigent and uninsured, but as readers who follow the link can see, this document precedes the hurricane by about five or six weeks.) Much of the nine pages consists of a script for the employees who had to turn the ill and injured away.
Download Dowling-Callender DAMP 090802
How people could do this to other people and still have a soul is beyond me.
Among the seven nations studied—Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States—the U.S. ranks last overall, as it did in the 2007, 2006, and 2004 editions of Mirror, Mirror. Most troubling, the U.S. fails to achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last on dimensions of access, patient safety, coordination, efficiency, and equity. The Netherlands ranks first, followed closely by the U.K. and Australia. The 2010 edition includes data from the seven countries and incorporates patients' and physicians' survey results on care experiences and ratings on various dimensions of care.

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