[kixiQu]

Why should it matter whether they feel bad about it, whether they "get off by" it? The reporting here is very clear: the possibly-illegal profit-seeking of purportedly nonprofit health care facilities isn't something "hospital admins" do on their own, it's something that those patient-facing staff are out there consciously enacting every single day. And anyone there could have decided they find that unacceptable and moved to work for other institutions. Definitionally, the ones still there did not. Everybody is complicit. And I say this as someone who is conflicted about my own job, who has all sympathy for individuals trying to figure out their own moral responsibility in shitty situations, so I'm not directing vitriol as those workers at all – that is, when they're not publishing op-eds framing their workplace as the last bulwark of social ethics where they help the helpless and do what others won't and people should be looking to them for guidance and don't ask about how many patients they send to collections please and thank you.