Is This a 5S Problem or a Broader Healthcare Leadership Issue?

A few of you sent me this sad article from the Wall St. Journal:  "'People Are Dying Here': Federal Hospitals Fail Tribes."  I feel like I've some variation of this article and exposé many times over. Sometimes, it's some form of government medicine (active duty military medicine, the VA, or another country) or it's a similar sad story from the private healthcare sector (be it non-profit or for-profit).