I'm only watching this mess from afar and haven't read enough to see if someone did, but in all those discussions about the way the system was designed this way, it seems that no one ever points out or is concerned that it was explicitly designed this way. Despite ample evidence about this very thing, which they seem to have discovered yesterday. And decades of complaints, protests, studies and papers showing how such a design is incompatible with reality. Medicine claims to recognize this problem, but almost never in reality. They recognize the idea of it, but every instance is disputed based on the idea that it doesn't exist, where "if you can walk 50M, you can work full time, run marathons, the whole nine yards".
Because it was designed this way. By choice. By people, most of them medical experts, many of which currently still hold positions of influence over this process, several who no doubt hold even more influence. And yet the way it's described is always with this passive voice, as if it may as well have been handed down from heaven on stone tablets, divine orders that can only be strictly followed.
It's like everything in health care that happens beyond the limits of what they can handle happens in a state of perpetual amnesia and a sort of fog of war, where no one ever does anything, things just happen, no one is responsible for anything and no one ever asks questions about any of those things. They just follow orders. Or give out orders. But no one is ever responsible. Because no one ordered this. Well, they did, but it all happens in secret behind closed doors so whatever.
Those systems were designed this way on the explicit advice of many physicians, mostly adopting the awful biopsychosocial ideology, which remains for all intents and purposes the law of medicineland. Despite massive evidence that it's nonsense. And now that this system is breaking down, predictably, it's so obvious that they will simply double down, using the same language and aims, while somehow pretending otherwise, not going right anymore, instead going the opposite way of left.
It's all manufactured reality with barely any connection to the real world. Like they keep talking about those people who could work if they had accommodations, but of course almost no employer is interested in that, in most cases it's far below a living wage anyway, which no one ever seems to be bothered with. And work from home has been massively discouraged. Telehealth is being removed. All the accommodations have been scaled back. All the necessary conditions for this to work out have been weakened or removed entirely.
We truly are living in a sort of QAnon fantasy world. People get serious about things when their interest is at stake, but otherwise it's delusional fantasy all around, everywhere, all the time.