Working Wounded Blog: 'Sicko'

"Whether you prefer the image of an out-of-control volleyball game or a breakdown prone machine, today's health care system violates the cardinal rule of effective management: Somebody must be in charge of any complex human system, or it is bound to malfunction. Medical care today has led to one series of unintended consequences after another. Specialists and scientific discoveries proliferate, bringing with them an enormous need for coordination, interpretation, and above all, leadership in charge of the process. That need has gone unmet. As a result, patients often -- and justifiably -- feel that 'nobody's in charge.'"

Bob Rosner is a best-selling author, an internationally syndicated columnist, popular speaker and a recent addition to the community of bloggers. He welcomes your comments at

This work is the opinion of the columnist and in no way reflects the opinion of ABC News.

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