Discuss the meaning of the following statement about the negative aspect of managed care: Healthcare is over-managed and under led.

Discuss the meaning of the following statement about the negative aspect of managed care: Healthcare is over-managed and under led. What can nursing leaders do to improve healthcare so that it is not over-managed and under led?
NO MORE THAN 400 WORDS
THE SCENARIO
As a nurse manager, you are faced with scheduling the staff for the Thanksgiving, Christmas, and New Year’s holidays. The unit has no policy, and this scheduling has always been a nightmare that everyone has somehow lived through. There are 35 RNs and 10 UAPs (unlicensed assistive personnel). You expect a full census, and there is no option for closing beds.
THE QUESTION
How do you determine if it is a fair and equitable division of time off for all staff?