I worked as Director of Engineering at a company for 10 years that built a SaaS for clinical trial document management. There is a weird perversion of incentiv

I worked as Director of Engineering at a company for 10 years that built a SaaS for clinical trial document management. There is a weird perversion of incentives in the industry driven under the guise of "quality" and "safety" that from a software engineer's perspective, looked pretty bad to me because of how manual and error prone the process is. The problem is that the people who have the knowledge aren't incentived to make it more efficient or cost effective; the purpose of many of these folks is to simply extract rent from the system and blame regulations and "patient safety" concerns. At an MES startup, one of the industry stalwarts (starts with V) was more or less using mafia tactics to force the startup to use their software or they would voice no confidence with pharma companies where big V was already entrenched. One of my passion projects would be to build an open-core clinical trial document management system with a focus on automation and templatization of common processes and workflows. It's insane how much waste this system has.