Some business units are extremely chaotic so people end up looking into the same problem without knowing it. They are mired in process which keeps them from being creative and they rely on old ways to do things which stunts the ability to think forward. The director level managers don't care about their teams at all and only manage up. They do not communicate well with each other or their teams which creates chaos. It's actually sad that a company that has the capability to create really good solutions in healthcare, ends up producing flawed ones because they have mistakenly trusted middle and upper managers who only focus on their jobs instead of doing the right thing for the product and their teams.