Working in healthcare has been transformed in a very alienating way. The workplace is drowning in fancy hi-tech machines. Cadres of bureaucrats spend their working hours promoting the product of healthcare with marketing campaigns. The rank and file hear daily admonitions to smile more and are told, “Just be glad you have a job.” Bureaucrats preach “customers come first,” while cutting service and staffing. Hospital and HMO executives are in a race to eliminate labor as much as possible in their “product.”