[mindslight]

You might not even notice it just from dealing with one referral. It really starts to gall when you see the pattern of nearly every actor in the system doing the least amount possible and then quickly passing responsibility on to someone else, often via yourself. The only exceptions I've seen are hospital doctors when there is an immediate acute problem that they can't just punt, and pediatrics where frequent repeating followups can be justified. Healthcare workers join this system because they want to help people, but the administrative parasites grind up their attention into tiny pieces until it is all but meaningless.