I think you'd be surprised how hospital administrators work. They are there to turn as much of a profit as possible while the physicians are trying to treat their patients with the best, most appropriate care possible. These two views often mix and the administrators usually win and nurses do sit on these boards. The nurses I am talking about are the old, crabby ones who have been a nurse for 30 - 40 years and thinks (usually) she has seen it all and heard it all and knows what the patient needs.