These issues are often talked about in the abstract, but I've seen them first hand. I worked in military medicine, and the IT department at one of the hospital

These issues are often talked about in the abstract, but I've seen them first hand. I worked in military medicine, and the IT department at one of the hospitals was entirely staffed with (in some cases well-meaning), but wildly unqualified staff. Mostly this was people who were previously department secretaries and who turned out to be just generally incompetent, unmotivated or abrasive. As they couldn't be fired, they were promoted to IT. It was a dumping ground. Their "Database Administrator" literally didn't know what SQL was and that's how it was for everything. One of them told me to my face (I was a contractor there to train them on an app): "I'm only going to be here for 5 more years, so I don't really want to learn all this." Disgraceful.