The tragedy at Phoenix Medical Center is partly the result of the executive bonus system This bonus system encourages conduct like secret waiting lists. By hiding the true wait-list, the Medical Center Director was able to qualify for a $9000 yearly bonus.
This is not isolated to Phoenix. It is pervasive around the country. There has been Congressional testimony about how mangers manipulate data to qualify for bonuses. This bonus system is used throughout the Federal Government. Perhaps it is time for Congress to eliminates bonuses entirely!