Bureaucracy is one of the singular most reasons for the decline in what was once an excellent healthcare system in Australia. I have witnessed some totally absurb decision making, with detrimental outcomes, in my years as a nurse.
As a healthcare consumer, and a support person of one, I've witnessed things that, if it weren't for me being a nurse, and knowing what I know, the outcomes could have been horrendous! And a lot had to do with useless, unnecessary, 'red tape!'
I'm pleased to read your post Gwenith, that Qld health at least is making progress.
The thing I also came to be aware of in all the years nursing in various different states, is just how VASTLY different and in someways, polarised, we are as a nation in terms of how we deliver healthcare.
When I went to Western Australia back in the late 70's, you'd have thought I'd materialised from another planet! The parochial attitude I found there was unbelievable! And dare I try to share with them any knowledge I had, (which CLEARLY, they didn't!), I was promptly informed; "well, you're NOT in Sydney now, and this is how we do it here!". Well, excuse me! So you desire to stay stuck in nursing as it's always been done and never progress, learn and develop???!!!

It was incredible! Thankfully, they've come a long way since those days! With more people migrating between the states and territories, there's less of a "them and us" attitude. More intergration & acceptance of those who have something to offer and share. More willingness to learn from people from another state, health facility etc.
Hmmmm, sounds a lot similar to the story told by immigrants to our land, doesn't it?

But that's another story for another day..........