I agree with you Reynolds. I, too, keep thinking how sad it is to notice good care because it is so exceptional. I am an Occupational Therapist and a couple of years ago I had a locum from abroad in my department who hit the nail on the head..she said in her experience of UK hospitals, she was astonished at the lack of any sign of altruism in some branches of healthcare. I'm nowhere near retirement age but I feel like I am when my values seem to be so much at odds with younger 'professionals'. Money, overtime and control over the less fortunate seem to have overtaken caring and commitment to patients' comfort and well being in so many places. Of course, good ones exist, but they do burnout quickly against a sea of careless attitudes.