They key element was the introduction of financial decisions into healthcare. This is all in the name of 'efficiency' and never mind the body count. The best thing that can happen to a health care worker is to be subjected to the system themselves.
The health care worker is not the one in charge of these decisions though. I don't consider an executive or administrator a "health care worker" so maybe that is who you mean?
IME, health care workers (doctors and nurses) often defend many of the habits and attitudes encouraged by the system and hated by patients, because the pressure on them has banded them into an "us vs them" or "soldier vs civilian" mentality. Also because the current situation has kicked off a cycle of antagonism between them and patients and especially the people advocating for said patients.
