I tend to believe institutional abuse stems from psychopathic tendencies of individuals empowered by/within those institutions. I think the institutions are OK

I tend to believe institutional abuse stems from psychopathic tendencies of individuals empowered by/within those institutions. I think the institutions are OK/worthwhile in a vacuum, but struggle to figure out how you avoid having, for lack of a better term, "bad folks" working within them. Review boards always seem to become lazy/apathetic overtime, and the patients often lack agency/collateral to be assertive.