The Stanford Hospital Nurses strike was driven by similar dynamics. Nurses had to work overtime through the entire pandemic while executives literally phoned it in for years! They were shocked, shocked, to discover that there was anger and resentment.

It was little surprise that more than half were showing up daily on picket lines as admin was apparently surprised that they couldn't find "travelers" to fill critical ICU roles, while surgeons continued scheduling elective surgeries.

It's still the case that the HR executive officer resides in LA and that Payroll is managed (with financially catastrophic results) from Hawaii. Both discipline and scheduling are also done almost entirely remote. It would be hilarious if not for the effects on staff and patients.