I agree that not having a SG isn't a crisis or THE factor in any inadequate response to ebola, but you're essentially arguing that the people who fill top jobs serve no useful purpose. Seems uncontroversial that the top person often makes a real contribution to the organization and its success, which is why organizations typically spend a great amount of effort hiring the best available person for that job.So if a ship's Chief Engineer was taken away, the ship would just stop dead in the water, yes, and nobody would be able to do anything. No crew member, nothing. Unless you have that official Chief Engineer, everything stops. Is that about right?
If a pilot became sick during a commercial flight, I guess the plane would plummet from the skies too.
The last Surgeon General did a lot in her time in office. Too bad most of it was centered around breastfeeding, which we all know is a national crisis.