Imagine having the purest ideals of helping people when entering medical profession, only to end up burned out, going through motions, knowingly but hopelessly

Imagine having the purest ideals of helping people when entering medical profession, only to end up burned out, going through motions, knowingly but hopelessly harming your own patients, leading you to substance abuse to cope with that as the system is set up to drive you to the brink of collapse. I am wondering what kind of sociopaths designed medical profession guidelines, maximizing unintended damage, depriving doctors of any quality off-time for their own recovery.