I had a similar reaction to the piece, which painted doctors as not being part of the problem - when they have a profound amount of political power.<p>I had a friend who worked as a QA engineer (hospital processes) for a presitigious children&#x27;s hospital. The QA department came up with any number of potential, well-conceived plans, but the falling-down point was always the doctors. One of the primary pain points was the lack of interoperability between different departments&#x27; record-keeping. Each department head had their favourite vendor, who would give them all sorts of goodies on the side, and as such, none of them wanted to change.<p>So, you&#x27;d have a heads of department meeting where the new QA plan would be discussed, which necessitated regularising the software across departments. The standard refutation was &quot;If I can&#x27;t use software X, children will die&quot;. Everyone knew this was utter bullshit, but there&#x27;s nothing you can do when the head of department is considered the final domain expert. &quot;Children will die&quot;, uttered by doctors and surgeons, killed more efficient processes in that hospital.<p>Another story of his was at another meeting where one specialist ventured an opinion. It was derided by one of the old-school, a veteran of nearly 30 years: &quot;We don&#x27;t do things that way; you&#x27;d know that if you&#x27;d been here any length of time&quot;. Said the opinion-venturer: &quot;I&#x27;ve been here 17 years&quot;. That is one insular society...