From the NYT, I found the story of a struggling non-profit hospital in Brooklyn, previously led by a desi former banker, Rajiv Garg, and carrying the reputation of an institution run by cliques, circles of political patronage and, apparently, old-world nepotism:
It was not just political connections, but family and ethnic connections.
Consider “the House of Arya,” as some doctors refer to it.
Dr. Vijaypal Arya, a gastroenterologist, followed his brother, Yashpal Arya, also a gastroenterologist, to Wyckoff. They were joined by at least six other relatives.
“What I would say is that a lot of other people do the same thing,” Dr. Vijaypal Arya said.
Of course, that makes it OK. When Garg lost his driving license (after falling asleep at the wheel) he billed the hospital for the use of a Cadillac and a Lincoln–leaving his employer to pay overtime for the drivers. When he went to London for a business trip the total reimbursement came to $7,000. He is, of course, unrepentant saying that he improved the hospital’s credit status in the market and saved millions of dollars (thus offsetting his baller lifestyle.) Is that all? Of course not:
An native of India who was educated in London, he moved to New York, where he was neighbors on Long Island with Dr. Addagada C. Rao, Wyckoff’s chief of surgery. In April 2008, Mr. Garg and Dr. Rao bought a struggling medical school in the Caribbean and signed an affiliation agreement with Wyckoff.
Garg’s rationale for this whirling miasma of corruption and waste was much like that of House Arya:
“There’s too much glue at Wyckoff,” Mr. Garg said. “Everyone knows each other. You have a lot of people whose relatives work there. Partly it’s the economics, partly it’s the work culture. It’s a free-for-all. To change that culture just didn’t work.”
He brushed aside questions about the Bentley.
“You know how many guys had 500 SE Mercedes there?” he said.