This is what happens when you divorce the customer from the service, stick a bureaucracy into every single decision, create explicit control mechanisms for incumbents, subsidize the ever loving crap out of insurance and medical debt, and replace personal care with checkboxes, paperwork, and “standards.”
You obliterate the service, and create an astonishing grift for completely useless and wasteful jobs.
(It’s the second picture from the post below) 
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