Well, when "complete absence of common sense" meets "loss of face", it escalates to the present status. Solution is flower basket, big apology and "wai" with reference to misunderstanding under stress.
In private hospitals one can witness, more often than not, complete overstaffing which results in a bureaucracy of titanic proportions - and explains part of the huge difference in treatment costs.
But, as long as there is plenty of lose change for submarines, destroyers, Air Force toys and interesting bridge ideas between the main land and touristic islands ...... we all can assume, that public healthcare, education and basic utility provisions like electricity and running water are all ticked off to the fullest satisfaction of everybody 😉