My nursing career started in a private for-profit corporate hospital. As nurses on the floor, we were governed by decisions and rules made by distant administrators in the their fairy tale corporate castles. They had little to no interests in our community. They didn’t live there. They didn’t know they unique challenges and cultures that impacted the care we provided and needed the ability to provide. Decisions almost always felt like they were made from the benefit of the company as a whole rather than the patients and the communities that the hospitals serve. The administrative process always felt detached to me with middle management, and even CEO’s often throwing their hands in the air and always having “corporate” as the answer to all the tough questions.