Capitalism/the profit motive is how physicians get caught in these systems of apathy. My comment isn’t an over simplification, it is the root cause.

Is the entirety of the healthcare system incredibly complex? Absolutely, and within that complex system there are all sorts of problems that could be teased out to study and address. None of that will dramatically change the outcome of a system that is designed solely to extract as much profit as it can.

When profit is the primary goal of a healthcare company (and the legally mandated responsibility of that company if it is publicly traded) the end result is the system we have.