The moral blame rests fully on the clinic, but the responsibility to fix the system rests fully on the government (in this case). It's really no different than

The moral blame rests fully on the clinic, but the responsibility to fix the system rests fully on the government (in this case). It's really no different than a production line with a quality problem. You can yell and scream about the morality of the workers all you want, but you can't expect them to improve if you don't fix the system and incentives that cause the problems.