Hospitals are faceless brick buildings with corridors of mindless worker drones fearing for their jobs, elitist upper echelon flashing status and prestige, and cover-your-ass paperwork crammed into slip and slide audit trails for those moments when staff is disgusted or bored by their patients or an angel-of-death executes the plausibly deniable in their career of serial murder.
Moral hazards in hospitals are real. Belligerent negligence and indifference among highly skilled professionals is a reality.
To step inside a hospital is to abdicate decision making authority. Doctors frequently fake their level of expertise, even if just to fit in or remain competitive practitioners. Deflecting impostor syndrome, despite any kernel of truth and uncertainty which may lurk subliminally within one's own subconscious intuition is just another part of medical school.
Most medical professionals crave any opportunity for condescension or chauvinism. Patients are the laughable bottom rung in the pecking order. Just like with fire fighters, legal representation and police, any gifted moment, any pause in the conversation will be used to steamroll and subordinate an ostensible peer or patron of the art.
Emergency responders choose their field out of a desire to command authority and seize upon jurisdiction, for the purpose of ego, right or wrong. This is a strong corollary to profit seeking in the business world.
Inside the brick building, you don't know what's best for yourself anymore. And now, low ranking employees will overrule your inclination to ask questions, and dump whatever prescription their boss puts in front of them right into the test subjects body, for fear of looking stupid and getting fired.
Pharmaceutical manufacturers are yet another layer of moral hazard, one step beyond even the situational moral hazards of power differential amid workplace social interactions and organizational/institutional depersonalization.