'The result can only be health care services which have virtually no real accountability or contact with the local community,' he said.

Except to believers in the toughest of tough love, real accountability is not compassionate.

These demands reinforce my belief that the teachers' union is not committed to real accountability.

"It's time to demand some real accountability and individual responsibility," he said.

In return for that flexibility, the Republican plan requires real accountability - not more paperwork, but better results.

The concessions they are willing to make are small stuff compared with real accountability.

But each person who watched the hearings and thought about them can make his own finding about real accountability.

Rather, he said, "It's about putting a better management structure in place and making sure that the people being put into these positions have real accountability."

Councils in this country seem almost immune form any real accountability.

She argues that without federal oversight, there's no real accountability or perspective.