The article in Nursing News about how hospitals could lose funding if they get low "grades" from "consumers" reminded me of the bearing ring.
This is a harness placed on a horse that forces the horse to carry its head up. When pulling a heavy load, the natural tendency is to lower the head. So working horses hated and often rebelled against this cruel device.
I think I read of this in "Black Beauty", the story of a horse's life. The horse passed to various owners. he worked as a taxi horse and various other horse jobs until he came to be owned by a wealthy woman who wanted him to stand up and look good. Even a horse has strength limitations.
I can't help but think of us nurses as the horses. We wear the bearing ring of inhuman, dangerous assignments, no breaks, forced OT, disrespect from every corner, now this threat of our employer being shut down if we don't cause them to get 10's.