But a Stage 2 company [the second step, loss of discipline and lust for more] can fall into a vicious spiral. You break Packard's Law and begin to fill seats with the wrong people; to compensate for the wrong people's inadequacies, you institute bureaucratic procedures; this, in turn, drives away the right people (because they chafe under the bureaucracy or cannot tolerate working with less competent people or both); this then invites more bureaucracy to compensate for having more of the wrong people, which then drives away more of the right people and a culture of bureaucratic mediocrity gradually replaces a culture of disciplined excellence. When bureaucratic rules erode an ethic of freedom and responsibility within a framework of core values and demanding standards, you've become infected with the disease of mediocrity.Actually, poor management in the face of union-imposed mediocrity and bureaucracy long ago doomed GM, but Team Obama has just permanently glued the company to that mediocrity. GM will be smaller but just as mediocre under government-cum-union tutelage. As for health care, well, fill in the blanks--it will become bureaucratic and mediocre in no time flat. Good doctors will decide to retire early or go into business for themselves. Lines will form; what's left will be rationed; and everywhere there will be mediocrity--and bureaucratic rules to die by, which is what many people will literally do in the face of unavailable services. Is this really change you can believe in?