Wow that’s a lot of words to say you can’t think of how to run a hospital without paying people.

And I agree, the fact that you need a master’s to understand how a healthcare organization runs is absurd, but that’s the state of things in the USA (to be clear, the MHA is my secondary master’s, but it’s the field I ended up in). However, my existence doesn’t depend on anything. If we were nationalized, I’d still have my job, just like the janitors or the administrators everywhere else in the world. You can’t just run a medical practice with a doctor and no other staff. I’m sure you’re creative enough to think through this and understand that maintaining a building, checking people in, running computer systems, etc. requires more than just a doctor.

To add to this, I could make more money doing a very similar job at a random company. Take Kellogg’s as an example. But I don’t, because I like working with patients and providers. But keep on assuming I’m an asshole because I work in healthcare and I’m not a clinical staff.

Now, back to my original point, which I’m really fascinated to hear the answer to. Since you seem to argue that I can’t pay my docs, janitors, nurses, or utility bills, how do I keep things open? Even a nationalized system pays salaries. A healthcare system needs money, unless you’re in a society that doesn’t rely on money.