why the critics of poor health service delivery are the causes of poor service delivery: a need to train the policy-makers; comment on “why and how is compassion necessary to provide good quality healthcare?”

this comment on professor fotaki’s editorial agrees with her arguments that training health professionals in more compassionate, caring and ethically sound care will have little value unless the system in which they work changes. it argues that for system change to occur, senior management, government members and civil servants themselves need training so that they learn to understand the effects that their policies have on health professionals. it argues that these people are complicit in the delivery of unethical care, because they impose requirements that contradict health professionals’ desire to deliver compassionate and ethical forms of care.