A Truism

It is a truism in trade that you simply get the effects you’re managing for.

This does now not imply you get the effects you wish to have. It does now not imply you get the effects you anticipated. It unquestionably does not imply you’re getting the effects you idea you managing for.

Case in Point: Rural Hospitals Keep Closing

The article is within the New York Times so they appear bewildered.