The problem is usually in the government as I have observed directly incompetent staff seldom are removed even when something like this occurs. They are moved around, no one is found guilty of anything, usually it becomes a conspiracy of errors beyond anyone’s control then a year later they give themselves big pats on the back about how much they have improved even though they are still only slightly less incompetent than the year before. Not all bureaucrats are bad but this type of thing happens precisely because of the natural way that bureaucracies stagnate and bulwark themselves in ways to serve the bureaucracy not the patients or those delivering the care.
The idea that a baby was not examined simply because he was miserable and cranky? Just thinking of that is just horrifically numbing.
Yes, that is one more layer of mischief.
And, the government misrunning of the system is a reason why the doctors are scarce. The doctors rightly view the system as a kind of hell on earth. Good enough ones will travel to another country and practice there. Others will never exist because they were daunted at the prospect and chose different, less trammeled careers.
If you think the health staff are incompetent, just wait until all the staff are members of a federal union. Then they’ll be impossible to get rid of regardless how many lives they cost.