>I cannot comment on your retirement community anecdote, but I can observe that if US physicians tick every box on the order form and document offering every available sop, it makes it harder to blame/sue them when things go awry.
>

OK.
Let's look at what you wrote.
You're not saying that they do or don't tick each box, but that if they do, it's because of those terrible other people.
When everyone in the system does that, you get what we have - a mess.

On the other hand, if just one of the players refused to go along, things might improve.

So I repeat.

John. The system is failing because one of the key lines of defense has collapsed.