Agreed. One of the things that surprised me the most working in healthcare was how many people have a flagrant disregard for anything but self interest — even human life. Sadly the policy mechanisms have failed to keep these people out.
Yes, I've been appalled by the pervasivness of the self-interest mentality throughout big healthcare. An unfortunate side-effect of capitalism and top-down management structures. Even if the workers want to do better things, they don't have the power to enact meaningful change within the organization. The health insurance companies are even moreso this way.
Anecdotally, Kaiser is easily the worst offender, not even trying to hide it.
Pretty much all the chains are equally bad — I’ve worked for 3. Agreed on the management problems preventing meaningful change though. Nothing will get better until the entire system collapses in my opinion…