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Grey's Anatomy Season 9 Episode 16

This Is Why We Fight

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Episode Summary

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AIRED: 2/21/13

While the hospital is hanging on a thread, the team looks for an investor to help them purchase the hospital. All while keeping Owen and the Pegasus team in the dark about their good intentions for the hospital.

Fan Episode Reviews (3)

Let's Manage Seattle Grace

5.5

By Supercats2000, Mar 04, 2013

After a series of never-ending discussions regarding the future of our favorite West Coast hospital, we finally got a resolution. The hospital has been saved and it will not become a faceless profit-making machine, but a paradise we would all love to encounter whenever we have no escape but to be in a hospital. The story of the hospital's announced financial collapse has been dragging on for weeks now and the resolution is anything but realistic even by TV standards. Whatever the case all is well that ends well and providing the ratings follow, we will have many an extra season of Grey's Anatomy.

Two issues that deserve comment have however been raised. the first one, a minor one compared to the second is how a foundation in America can apparently dispose of 175 million to please a lover and to push a not so prodigal child. I sincerely doubt the statutes of any foundation or trust would allow for such an absurd decision. If they do, then frankly speaking the tax advantages attached to any such foundation should be promptly revised. Any rich person should be allowed to dispose of its wealth in a any legal mean it sees fit, but the moment it asks Uncle Tom to kick in some money, in whatever form it is, then there ought to be a cross-check of the decision. In the happy-ending, last second resolution to Seattle Grace's crisis there is neither of this nor is there a hint of the obvious abuse. The fact that it is all for a good cause, we do want to see more of Meredith, Derek and co. hardly justifies it.

The more interesting issue raised by the episode is however the one concerning the management of an institution that has been in financial dire straits practically since episode one of the series. The original benefactor (Julian Crest, the man willing to raise 175 million) points out none of the five millionaire doctors willing to invest the money they got as compensation for the plane crash has actually any management experience, in hospitals or anywhere else for that matter. When the Fab 5 bring in Richard as a last minute savior I frankly wondered if that would win the day. Thankfully it did not, at least a piece of realism in an otherwise "Wonderful Life" type of episode.

The issue raised by Julian Crest is however a good one, and one that as far as I know nobody around the world has honestly addressed. Hospitals are generally run by doctors under the wonderful excuse that only a doctor can run an institution such as a hospital. The usual explanation is that only a person capable of healing a person can tell you how to heal another person. Obviously it is necessary to understand how the heart works before advising on the proper treatment for any major heart issue? Is it really? Then what do you do if three extraordinary cardiologists (as recognized by their peers) suggest three different treatments. Someone must make a decision, and that someone must be above all a manager. Someone understanding statistics and knowing his people. He probably also needs to understand the patient's psychology. But, does he have to be an expert cardiologist, or even an MD? Managing people is tough, often it is a skill you are not born with, but one you acquire with experience and some level of training. Do we really want Derek to become a top manager? Isn't everyone best served if he becomes a better surgeon instead?

Now, a hospital manager has far more duties than medical decisions. He is running a company with a staff hundreds if not thousands. He needs to know if that airline where Lexypedia and Mark lost their lives is safe. He needs to know what his hospital liability insurance is. You cannot do that and spend 23 hours in the OR. By the way, a proper hospital manager could question 36 or 48 hours shifts for his staff. No plant, even in China or Bangladesh would ever force its employees to endure such working conditions, because not only productivity will go down, but because it is plainly and simply dangerous. Hospitals, where life and death decisions are made constantly ignore this basic principle third world plants have understood.

Yes, I was disappointed, the Fab 5 did not come up with a manager to run the place for them, not a doctor, but a manager they would chose and get along with, and one that could actually prevent the next financial collapse of Seattle Grace.moreless
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AWSOME EPISODE

10

By PetraJelaviMi, Feb 26, 2013

Wow! I loved this episode! Defenitlly the best of this season! I must say that I didn't expect Harper - Avery Foundation to be the partner but that is all about, to surprise the viewers. I just hope that now that Jackson is "the boss" he wont become conceited cause I really like that character and please don't ruin him!!! . sorry for my English ;)
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One of the best episodes of this season.

9.5

By AlekFrancesch, Feb 26, 2013

Yes. This episode was awesome! One of the best of this season till far. After a couple of episodes a little predictable but nevertheless, very good, this last one has passed thru my highest level of valuation. Not a 10, though. But to reach 10 points it must be really really good.

Even knowing that it was a matter of time to buy that hospital, the thing was... how to? And the writers has done an incredible job. I was caught by surprise to see Avery as the big boss now.

One more time: awesome episode!moreless
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Cast & Crew: STARS

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Ellen Pompeo	Dr. Meredith Grey
Patrick Dempsey	Dr. Derek Shepherd
Sandra Oh	Dr. Cristina Yang
Chandra Wilson	Dr. Miranda Bailey
James Pickens Jr.	Dr. Richard Webber
Sara Ramirez	Dr. Calliope "Callie" Torres

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Cast & Crew: RECURRING AND GUESTS

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Tessa Ferrer	Leah	Guest Star
Gauis Charles	Shane	Guest Star
Jerrika D Hinton	Stephanie	Guest Star
Tina Majorino	Heather Brooks	Recurring Role
Camilla Luddington	Dr. Josephine "Jo" Wilson	Recurring Role
Debbie Allen	Dr. Catherine Avery	Recurring Role

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Trivia, Notes, Quotes and Allusions

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TRIVIA (0)
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QUOTES (6)
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- Alex: You're gonna be fine. There are other programs.
  Jo: Not like this one. Not with a teacher like you who shows me cool tumor-in-a-bag surgeries and thinks it's fun to talk to little kids about guts and stuff. You know, I, uh, I barely saw you this week, and it sucked. I'll find another job. Whatever. I, uh, but I don't want to never see you again.
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- Stephanie: We're all about to lose our jobs, and all I can think about is the fact that I'm gonna have to stop sleeping with him. I'm so gross.
  Leah: Come on. The sex can't be that good.
  Stephanie: Look at him. I'm gonna go talk to him.
  Leah: Every step you take is a giant leap backward for womankind. There goes the right to vote. Roe v. Wade.
  Stephanie: Cut it out!
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- Jackson: Wait, you woke up me at the crack of dawn to tell me you're coming to Seattle to be my boss? That doesn't---
  Catherine: Oh, no, no, sweetheart. You misunderstood. The foundation is electing you as our representative. We're the majority shareholder. That means you are in charge.
  Jackson: (stunned) Wait. What?
  Catherine: Now give your mama a kiss, Jackson. She just bought you a hospital.
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- April: You shouldn't spread that kind of rumor.
  Shane: It's not a rumor. I heard it from Brooks. She heard it from--
  April: That is a textbook rumor!
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- Meredith: (closing voiceover) There's a reason surgeons are willing to roll the dice on a risky, go-for-broke, point-of-no-return surgery with potentially devastating consequences. Sometimes, it works.
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- Meredith: (opening voiceover) There is a procedure to treat epilepsy that involves surgically severing the connection between the left and right brain. The goal is to block signals that cause seizures. The problem is, this also cuts off the brain's ability to communicate with itself. The left side has no idea what the right side is up to. The patient may experience problems with coordination, memory, speech. It's a drastic solution that's only considered when all other options have failed, because once a surgeon makes that cut, there's no going back.
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NOTES (1)
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- Original International Air Dates:
  Canada: February 21, 2013 on CTV
  Sweden: March 27, 2013 on Kanal 5
  Norway: April 2, 2013 on TV2
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