[lbo-talk] Patients Are Not Consumers

John Wesley godisamethodist at yahoo.com
Tue Apr 26 14:31:38 PDT 2011


Yes, in the '80's the HR buzzword was "TQM", in the '90's it was "re-engineering", in the 00's it was "benchmarking", and today it is "governance". It's hardly surprising that all this jargon originated in HR; they have always had to euphemize their nasty "RIF" related activities!

Mike G

________________________________ From: shag carpet bomb <shag at cleandraws.com> To: lbo-talk at lbo-talk.org; lbo-talk at lbo-talk.org Sent: Sun, April 24, 2011 12:48:15 PM Subject: Re: [lbo-talk] Patients Are Not Consumers

actually, the terminology took root in the late 70s/early 80s with new managerial ideologies. The idea was, if your IT department which creates software for the HR department, treated the HR department as a customer, things would be more efficient. In other words, instead of HR saying "we need new new hire intake management system, make one for us" and then not having to "pay" for the service, if there were charge backs, etc. etc. and HR had to pay for the software, then they wouldn't be efftards about requirements, scope creep etc.

Also figured that, seeing other departments as customers and using a set of _measurements_ that coule be employed to gauge the quality of that service would improve quality - in the lexicon of total quality management and continuous quality improvement.

This language was dominant in business ideology through out the eighties such that, by the early nineties, it had largely infected every university system where, increasingly, professors were told to see students as customers, etc. (there was a small cottage industry devoted to publishing professorial gripes about these developments).

Finally, simply trace the change in fucking name tags at chain stores. Started in the mid-80s as well. Clerks became associates, etc. etc. The change in terminology came about for the same reason: new managerial ideologies associated with TQM/CQI.

At 11:31 PM 4/23/2011, 123hop at comcast.net wrote:
> Possibly because if you modeled the interchange in a computer program, as you
>often have to do, these would all be clients consuming services. And also, so
>much easier to identify with the buyer aspect of your persona. Any other
>relationship would be tainted with social and historical inferences. J. -----
>Original Message ----- From: "John Wesley" <godisamethodist at yahoo.com> That's
>the new terminology: We're all "clients", "customers", or "consumers" of things!
>Even prison inmates are sometimes referred to as "clients" in Corrections Depts.
>mission/vision statements! Mike G ________________________________ From:
>fernando cassia <fcassia at gmail.com> To: lbo-talk <lbo-talk at lbo-talk.org> Sent:
>Sat, April 23, 2011 1:27:06 AM Subject: [lbo-talk] Patients Are Not Consumers
>"How did it become normal, or for that matter even acceptable, to refer to
>medical patients as ���consumers���? The relationship between patient and doctor
>used to be considered something special, almost sacred. Now politicians and
>supposed reformers talk about the act of receiving care as if it were no
>different from a commercial transaction, like buying a car � and their only
>compplaint is that it isn���t commercial enough. What has gone wrong with us"
>http://www.nytimes.com/2011/04/22/opinion/22krugman.html?_r=1&src=ISMR_AP_LO_MST_FB
>http://www.nytimes.com/2011/04/22/opinion/22krugman.html?_r=1&src=ISMR_AP_LO_MST_FB>
> > ___________________________________
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