The people pushing the paper don't write the rules.
The problem is the system, not the people who collect the forms and forward them on to people up the chain. Congress and Obama are working on fixing the system.
The do-gooders had just published a big list of the survival rates from heart surgery at all the hospitals in the region - so people could make "informed decisions".
The result was, nobody would take on a high risk heart surgery for fear it would affect their numbers on the next report.