In the case of a hospital and emergency room, they will usually have a monopoly in a given arena, so the losses will be felt by taxpayers and insurance premium payers. And the patients who end up getting lower quality are due to turbulence in operations. And the workers who cannot afford to or decide not to quit who have to deal with lower quality of life at work.

This is my frustration.

How is it when I fuck up at work, I get fired but when these definitely reversible decisions are made and allowed to run their course for years we dont see a mass exodus at the SVP level?