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We used to work together dapoxetine eli lilly Even more interesting is Mizruchi’s argument that CEOs’ failure to support health-care reform was driven by the perverse incentives inside the bureaucracies over which they themselves preside. Mizruchi found that CEOs were ambivalent about health-care reform. But their human-resources executives were unanimous in opposing it, and they were sometimes willing to admit openly that their hostility grew out of the fear that reform would make their own jobs as administrators of corporate health-care plans redundant. If you get the joke in any Dilbert cartoon, this scenario will instantly make sense—anyone who has actually worked inside a big company knows that bureaucratic dysfunction is not the sole province of the state.