I don't disagree with that either, but this is something I've been thinking about a lot recently. Perhaps it is impossible to change the structure of these org

I don't disagree with that either, but this is something I've been thinking about a lot recently. Perhaps it is impossible to change the structure of these organizations, but I think there is going to be fundamental disconnect between designers and the organizations they serve until one group at least learns to speak the other's language and address the problems they face. At the very minimum, it sounds like there is an opportunity to weed out inefficiency (somehow) and find newer, better ways to organize people and their interests.