This looks like the same phenomenon as the crisis in staffing nurses that was discussed here the other day. Careerist, indifferent management giving the people on the front line inadequate resources and then blaming them when things start to look shabby, or when someone dies. Scapegoating the people who were in the wrong place at the wrong time, who are tired, inadequately trained, and inured to a climate of normaliz…
Edit: I also agree with the posts about outsourcing leading to ossification and rigid stratification. You want rigid stratification? Try military medicine.