This is all downstream of consolidation of ownership in private equity of clinics, community health centers, emergency rooms, veterinarians offices, end-of-life care facilities, etc.
This is what happens when you let the bean counters and MBAs a quarter turn around the world with no on-the-ground experience or institutional knowledge make decisions from their spreadsheets to "optimize out inefficiencies".
No, if anything, people buying and running multiple offices are exactly in the business of optimizing the last few percentage points of efficiency and that include amortizing better software across all these offices to make them run with fewer humans in the loop. Causing more people to talk to more humans is NOT what they do.
The issue is lack of care, incompetence, stupidity - exactly the things that will get you fired from these operations. Eventually.
The problem is "eventually". Unfortunately it will take too long for that to happen, compared to the rest of our lives.
This is what happens when you let the bean counters and MBAs a quarter turn around the world with no on-the-ground experience or institutional knowledge make decisions from their spreadsheets to "optimize out inefficiencies".
Let's call it what it is: strip mining.