[zwischenzug]

Author here. That's interesting, as I've not worked with healthcare too much.

Others here have cited segregation of duties, which is definitely a factor, but the other one less mentioned in finance is the 'one throat to choke' principle: it's simpler from a management and regulatory perspective to have the responsibility for failures in one place rather than across many teams.

[jesseryoung]

Ah - that makes sense. This might be a bit easier in healthcare as I believe it's pretty common to have many different ops teams each responsible for different parts of the business.

I feel like most of the time "compliance" is blamed when really, it's your first point in that section (Absent an existential threat, the necessary organizational changes were more difficult to make) that is the real holdup.