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Mara Alexeev's avatar

I started creating my own personal concept for this after speaking with another physician in the Summer of 2022 as we reflected upon the leadership disasters of Spring 2020. We were both practicing in the inpatient setting in NYC during that.

I call it faux leadership. It's that group of people that look like leaders in a credential way, speech, or in manner of dress who are chronically on the lists of search committees. Because true emergencies are rare these people compete on looking like leaders rather than acting like a leader.

Some symptoms of the condition that manifest in the medical field:

- long emails explaining the 'unprecedented' situation and asking for our understanding and patience. The email cannot communicate any important ideas.

- when protocols do change, describe how this is no change at all but rather a continuation of the perfect plan that was ordained at the beginning.

- punish anyone in the ranks below who questions the approach or merely leads by doing reasonable things.

- praise people who have done clearly counter productive or directly harmful things because their intentions were pure(ly in line with the faux leadership talking points).

- create and/or approve policies and procedures that are performative and could sound good to some (daily check ins to say you don't have COVID symptoms) but do nothing to protect workers or patients.

- unilaterally ration care and surgery to seriously ill patients without allowing individual physicians to decide if they want to take on the risk of caring for ill patients, to whom we have supposedly have dedicated our lives to.

- fail to ever make true tradeoffs such as reducing/lightening documentation requirements so fewer physicians can take care of more patients. Instead live in a fantasy world where people just have endless energy to pour into work.

- instead of speaking directly to people causing team strife or performing poorly, send out vague, passive aggressive emails. Bonus points if you impose new, burdensome rules that do not fix the issue and only encumbered the people already rowing together.

- bring in outside consulting groups to have built in fall boys when implemented ideas fail.

- do not make decisions even in critical, time limited situations, instead set up committees with (not really) diverse view points that will come to consensus weeks (if you are so fortunate) after the threat has passed.

- punish people who make reasonable decisions on the frontline in dire circumstances.

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War for the West's avatar

She's born in Egypt, a socialist and Muslim - how in the hell does she get dual citizenship in UK and the U.S.? Answer: She did it through marriage, and divorce to very rich men, lol. She's post-nationalist, post-American, post-classical liberalism - which is exactly who our elite want running things. Of course these riots happen under her. It's also important to note that Columbia has been nurturing radical Muslims and Jihad for 50 years. Eduard Said's "Orientalism", a Marxist faux history that ignores 1400 years of Islamic imperial conquest, enslavement (sexual and otherwise), slaughter and destruction, was created at Columbia. Obama was a favored student of Said and Obama is also befriended Rashid Khalidi who continued Said's nonsense and vicious ideological work. The entire point is to position the West as the apex predator/oppressor, as though Islam was a lil lamb that the Western wolf set upon.

The rot began long ago. It took 100 years to get here. Wake up.

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