From time to
time this blog has suggested that the present fashion for management education
based on financial imperatives has led to distortions that are damaging, can
lead to short term thinking only and in fact mean that capitalism today is not
about capital, or real investment or delivery of goods and services, but
financial churning.
This piece about Big Pharma in "Naked Capitalism" gives a leading
example of what can happen. Given the
context of this activity, the provision of medication for the sick via health
services based either on public funding or varied means of private funding,
often insurance, it could be dangerous in real ways.
Companies need
profit and a surplus for real investment, reserves and to counter cyclical
movements in the markets generally. But
extraction of monies at this level runs counter to what should be the real
purpose of the production of drugs and medications.
What we see
here are the complex company structures, emphasis on accounting above activity
and sleights of hand that are now all too common across many sectors of the
economy. All too often the result of
extractive rent seeking of this kind leads to failures in provision and a
collapse of services or production.
It is possible
that health services are particularly vulnerable to this kind of financial
operation. Is this what doctors are for?
The MBA cult was screwing up my field by the time I left.
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