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Have worked adjacent to medicine for about 12 years now. The stories I could tell.
Tl;dr - Medicine has changed, especially in the West. The "crisis of competence" is real, and it's absolutely within medicine. Docs making OVs (Office Visits) as fast as possible, having Allied Health (Nurses, PAs, PTs, etc) see you rather than physicians and giving them scripting power. If you thought H1B Pajeet Docs were bad, go figure it's the C's for Degrees Pitmommy Nurse who will more likely kill you with a drug error or so badly underdose that you might as well be taking nothing.
Whole thing's a mess from the top to the bottom. Admins are only concerned with profits. Docs are somewhere in the middle between incompetence and god complexes. Nurses and most mid-levels are there purely for the pay increase and probably got their degree online with the lowest grades possible. And the people working the front office too (scheduling etc) can also make your life a living hell.
The entire system is fucked on the care side. Most of the shitty care is lack of access to good docs, and that's driven by money. There are good docs out there, but they're typically at the bigtime operations like the Mayo Clinics or really, really high-profile facilities. They are drawn to such facilities with huge pay, while the farther away you get from these hubs, the lower the quality of care becomes.
Step away from those hot-shit facilities and the quality of care plummets because the quality of caregivers plummet. They're all recruited to the top. Past that, your typical local doc in a midsize city or smaller is just whatever dregs are left or some H1B overseas shit some Hospital Admin shoved in there to take the job for the right (low) pay.
Because money. And money because greed. Remember that when you're dying if you had a million dollars to get you into Mayo or Duke or Emory or some high-tier shit, you could probably be saved or cured.
