For years, critics have pointed to the decreasing ability of health-care professionals to make decisions and provide services because of the demands of insurance companies and health-management organizations to sustain profits. Health-care decisions are increasingly being made by the wrong people and for the wrong reasons. So, too, with public…

A case study detailing efforts by University of Minnesota administrators to "re-engineer" the medical school by selling the teaching hospital without faculty consultation and nearly eliminating tenure notes that the medical school now faces an uncertain future and has experienced a precipitous decline in federal research support. (DB)