The culture shift from practical reality to idealism in the workplace been exhaustively counterproductive.
Within the NHS alone, the creation of non-jobs and a mind-boggling array of roles that have been invented so that more and more responsibility becomes specific, means that the whole emphasis of what hospitals and health organisations are there to really do has been effectively lost.
Not only this. All of these jobs attract massive additional costs to manage. Not least of all the very generous pension schemes that jobs right across the Public Sector attract.
The point should not be overlooked that each and every public sector organisation has to use our money to pay all of these additional and in many cases unnecessary employment costs BEFORE any of their real work actually begins.