We in the hospital supply chain business need to aggressively defend our supply expense cost structure, since cost is our enemy and we must always be on the attack. The primary reason for embracing this attitude is that there is always leakage and upward swings in your supply expenses that must be ratcheted down with a good offense to preserve a positive balance in your supply cost. I have found that hoping that this will happen naturally or by chance isn’t a strategy for success!