I couldn't agree more with every sord you have said. It shouldn't be difficult, but it would appear to be impossible in some places. I don't think it's just money either. I have seen places with very little cash do wonders with patients and environments by having the right attitudes, some motivation and a sense of responsibility. Not long ago a survey asked what people would like as an 11th commandment if there was to be one..the answer was overwhelmingly 'treat others as you would like to be treated yourself'..it's that simple really.