Universities Are Prioritizing Their Health Systems Over Teaching. That’s Killing Academic Freedom.
2nd January 2024
Before we blame the individuals on center stage, however, we should look at the structural causes that brought us to this moment. A big reason for our disenchantment is that the job of a university president no longer prioritizes being a pioneering thought leader, but instead requires the skills of a savvy lobbyist. For most large universities, administrators’ attention has increasingly focused on outside funding and large revenue generators and away from student instruction and traditional scholarship.
One significant reason — one that has been wholly unappreciated but is growing in importance — is the role many universities play in our nation’s health sector. Universities with health systems are better understood as health systems with universities. As such, they are highly dependent on the graces and whims of policymakers, and their leaders are structurally restrained from asserting independence against, or challenging the wrongheaded politics of, elected leaders. In the end, academic freedom is the big loser.