Much of what I see is group think. The system doesn't reward physicians who step out of line. Their world is all about peer review, protocols, not running afoul of licensing boards, attending conferences at resort destinations paid for by big pharma where they rub elbows with their colleagues whose approval they desperately need and want. In that environment, patient safety can be marginalized by conformity at a time like today where those that dared speak up about leaky vaccines, antibody dependent enhancement, etc. and warned that mass inoculation during a pandemic can create the exact types of variants we see today. This default stance to defer to protocols or use very expensive drugs when low cost over-the-counter alternatives like HCQ and Ivermectin could mitigate the disease if people are infected and reduce the need for hospitalization while allowing people to obtain natural immunity that is proving to be far superior to the vaccines.