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save_the_rustbelt

Having done consulting for both lawyers and physicians, both often share the same problem.

Neither group will sacrifice short-term profits for medium to long-term stability and prosperity, driven by massive egos and good old fashioned greed.

Both groups tend to block out the potential damage to clients/patients as a result of the short-term focus.

Onlooker

Most U.S. law firms (exceptions only at the very top of the heap) are controlled by a relatively small group of financial pillars who have the best of all worlds: they can stay put and continue the benefits of control, or they can depart and take their relationships with them (as most clients don't give a fig about internal firm loyalty) and join another control group somewhere better. Short of having the opportunity to sell into an IPO and retire, that's very unlikely to change, even if firms have contracts and non-competes available to them (who'd sign one without a giant payday for doing so?).

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