"One of the key elements here was flattening the hierarchy in the operating room so that everybody, the scrub tech,the nurse, the surgeon,the anesthesiologist, whomever it is in the operating room could bring up any concerns they had about the patient."
VOA: special.2010.10.20
The drastic restructuring he sought -- reducing the bloated staff levels, flattening the hierarchy and offloading welfare programs that were soaking up billions of rupiah each year-- was bound to be resisted.