Board-certified in what?!

Bureaucracy is where accountability gets diluted and common sense is quietly asked to wait outside for safety reasons.

You can usually spot it by the signs. Laminated, taped, stacked one on top of another, each announcing a rule that probably once made sense

Arrows point in conflicting directions. Doors are locked “temporarily,” which often means indefinitely. A desk sits between you and the thing you actually need, staffed by someone whose job is to make sure you don’t get there the wrong way.

We may not be able to change systems or bureaucrats, but we can change how they hook us into drama.

Hospitals are particularly good at this.

Clipboards multiply. Protocols overlap. Nobody is quite in charge, but everyone is certain about what you’re not allowed to do. Hospitals