Thus, theoretically Yale has only one third of the Members of the Yale-New Haven Hospital, with the other two thirds made up of community representatives. The most powerful force at the hospital, the Medical Board, is dominated by full-time, salaried Yale professors. The priorities of Yale University are research and teaching. Though Yale's control of the medical center, these priorities are passed on to the Yale-New Haven Hospital. Worse, to be a non-professional at Yale is to live a degraded life.
Doctors snap at nurses and the nurses have to dump on orderlies and patients in return.
Yale-New Haven Hospital resembles a colonial outpost where the doctor is the colonial administrator. Yale is trying to fool people into thinking that this is changing. The most blatant attempt to buy the community off has been the construction of the Hill Health Center. But nothing has changed. The only way that Yale-New Haven knows how to relate to the community is by using it.