A professional colleague and I were discussing (bemoaning) how hard it is to do quality primary care. She asked why I bothered to keep pushing for change in the face of so much institutional resistance and evidence that it was pointless. I told her, what we put up with is what we end up with.
In return, I asked her why she didn't push back and demand change if she is so unhappy about the way things are?
Her response: "Well, I watch you, and I can see that it is pointless."