The Bureaucracy Explosion In Medicine And Higher Education Is Killing Both

You can safely ignore virtually all of this New York Times editorial about medicine, save for one paragraph:

The health care system needs to be restructured to reflect the realities of patient care. From 1975 to 2010, the number of health care administrators increased 3,200 percent. There are now roughly 10 administrators for every doctor. If we converted even half of those salary lines to additional nurses and doctors, we might have enough clinical staff members to handle the work. Health care is about taking care of patients, not paperwork.

 This is the same problem besetting academia, with administrative staff growing at twice the rate of student populations. It is responsible for the staggering cost of both. And in both places, such bureaucrats must be laid off.

But who will do it?