In Jack and the Beanstalk, the mythical beanstalk grows and allows Jack to enter a mysterious world of peril and adventure, the land of the giant and his extraordinary riches. Within this land is a goose that lays golden eggs. Healthcare managers have something in common with this situation. They too live with peril and adventure. They also have golden geese, but often don't recognize them because these geese come disguised as nurses.
Many managers consider nurses to be just another expense.
That's because nurses are able to acquire so much information. We live in the information age when accurate data are invaluable. During conversations with nurses, patients communicate their perspectives about company image and necessary services. Healthcare management has slashed staff instead of performing the precise surgery needed to decrease waste. In effect, they killed many of the golden geese.