If your assumptions rest on corporate entities or actual decision makers being held legally liable, then you've got a lot of legwork ahead of you to demonstrate why that's a reasonable presupposition.

That’s easy for you to say, with the benefit of recency bias, and with presumably zero experience in running a hospital.

And? People and institutions constantly make bad decisions for which there are reasonable alternatives, and that's assuming that the incentives at play for decision makers are aligned with what we would want them to be, which is often not the case. Not that that ends up mattering much except as an explanatory device, because people and institutions constantly pursue bad ideas even seen in terms of their own interests.