Could you point to a any statistic showing a decline in nurses? We could certainly use more nurses (just as more of any kind of medical professional would be nice–surgeons, GPs, radiologists, etc.), but that quote appears to misleadingly suggest that we are graduating fewer nurses now than before, when the numbers I see are significant (i.e., double-digit) increases over each of the last five years.

Interview 3 or 4 hospital administrators to get a balanced view -some have agendas (and some are goodballs!).

It is one of the few issues on which there is 99.9% agreement from anyone that matters.

Yet we are doing almost nothing about the problem. Universities are cutting or restricting nursing programs because 1) the programs are not glamorous and 2) it is cheaper to educate economists and poets than nurses, and 3) nursing professors are not a power block in the academic hierarchy.

There are plenty of other issues, including weeding out or retraining mediocre physicians.

This is what the Mayo Clinic does, and one reason why the level of quality there is so high. I'm surprised that Mr. Kling didn't examine the industry to see if indeed his recommended practice is already in use.

Perhaps he did mention this in his book, which I haven't read, and you just didn't have time to bring it up in the podcast. But it sure seemed like a glaring hole in the podcast.

I'll be interested to hear your interview of a hospital administrator. My suggestion would be to follow that up with a leader at Mayo or perhaps the Cleveland Clinic….and perhaps going further with a look at "Innovations in Health Care."

Certainly that may present a more optimistic view than the two-tiered system that Mr. Kling predicts.