Earlier quoted context omitted.
Is this sarcasm? In a thread were we discuss the breaking down of a systems run by professionals?
No, I'm dead serious. To usr another example: surgery. Just assume people cutting you up know what they are doing, even if you do not have the slightst clue.
Then i also know horror stories from someone thrustworthy, about surgeons throwing extracted body parts after nurses in high stress situations. No, i will not name names, but life and death situations need a perfect team and you dont always got that perfect team.
And surgery quality being dependant on the actual execution of the surgery (chief surgeon is not automatic the best individual contributor to surgery).
You want the most hours on the knife guy for best outcome, not some administrator with white coat.
Also you want to be near univesity clinics, they are spearheading new stuff, the more you get away from them, the operation technique is depending on the age of the doctors education and the hospitals financials to keep up to date, send doctors to regular re-trainings and try new things. Then there are lawsuits, they keep the people responsible, but also risk averse.
So if you are in a high risk situation, in a lawsuit rich country you are fucked, cause nobody will try the dice throw when worst comes to worst.
Trust in systems working, is upkept by untrusting agents.
So like in capitalism, were the price aware negotiate the deals down for the crowd who does not want to haggle.
Finally: The infrastructure & hierarchy of hospitals (in europe), as we know them today, emerged largely from the two world wars were lots of nurses and doctors were integrated into army structures. Which means it suffers from the same inefficency and structural problems those armies back then suffered from. Now you have the MBA process micro optimization on top of that, so i wouldnt trust that machine blindly..