Hospital mergers and acquisitions have gone up significantly in the last decade and to make up for the increased debt load, the hospital systems are pushing practitioners to see more patients per day. Quantity of patients has increased, while quality went in the other direction.

My wife (who quit earlier this year) had to spend significantly more time completing patient charts "after work" because there was no time to actually do this at work with the push to see more patients.

Combine frustrated practitioners and frustrated patients and everyone's pissed off -- then throw in a pandemic.