Even members of a top management team can flee to other organizations after too many instances in which the CEO discounted their ideas, unable to shake the command-and-control leadership style.
It can give you a sense of control, of purpose, it can shake up your perception of time, offer the space to expand cultural horizons and allow the kind of relaxed break everyone needs to refuel.
The Health and Social Care Bill introduces the biggest shake-up since the founding of the NHS in 1948, putting GPs in control of much of its budget and encouraging greater competition with the private sector.