“… although journalists, many of them really are mission-driven, they’re not the only people who have driven them into their professions. Physicians, many of them, are mission-driven. What happens in their case is that technology allows nurses to provide more and more high quality care. The instinct of the physicians is to look down their noses at the nurses, and say, “They’re not as good as we are.” And they feel like their mission is compromised by handing off care to “less quality” care providers.
And teachers feel the same way. So it’s not unique, but I think in each case, the reaction of the leaders in the industry is to justify the need why they shouldn’t change, and everybody else is wrong. And you keep changing the definition of quality to justify why you don’t need to be worried. I think that that’s probably what’s going on.”