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The paper also critically discusses the existing healthcare environment, as described in the case study and other sources, with a consideration of the implications of recent changes for leadership development and strategic management.

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The paper discusses key issues influencing leadership and strategic decision making in the healthcare industry, the role of Clough’s leadership in the turnaround and organizational change at Mount Auburn Hospital, and the use of strategic leadership as a tool to develop service delivery.

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The paper includes a discussion of critical reactions to the film and the evidence that a growing number of Americans (including many healthcare workers) agree with Moore's basic argument.

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It is the thesis of this paper that for some of the most heavily affected African countries, brain drain has already created a crisis of development through its impact on the healthcare and education sectors, and that in all of the affected African countries, brain drain stands as a primarily impediment to sustainable development.

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