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Hello all - been a while. I’m putting another thread - not just to rant but also to genuinely find solutions. The situation: an unfortunate side effect of bureaucratic medicine with multiple “silos”. It is best described as #NotOnMyBudget. The impact to care: no care delivered.
I must first acknowledge that this term was proposed by a colleague and friend, and just describes the problem so succinctly and perfectly that I had to ask to use it publicly. I wish this was my brain child, but alas, it is not.

So what‘s the situation?
In single-payer medicine administration, budgets from a central pot are allocated to different areas/services. This can be service specific (ER vs ward), regional (different cities), etc. Let us consider these "pots".
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