A state Governor decides how many ventilators (or X-ray machines, or anything else)a hospital should be bought? I'm not an apologist for him or any other. Just familiar with how some decisions are viewed in healthcare, procurement of equipment, etc.
Having worked my life in hospitals, I can vouch for how stingy each and every one is. They all have budgets, of course, determined by their income source (state, fed, insurance, private pay, donors). They have their favorites, bowing down to influential people in certain specialties, like cancer and heart disease, that bring in a lot of donor money. The CEOs of course get big bucks. Need another nurse in dialysis because your patient load is increasing? That goes at the bottom of the pile. "Find ways to work smarter." Not a money maker.
To be honest I am shocked, shocked (and glad, BTW) seeing these hundreds of ventilators being trucked in. Because I know how long it took to procure anything like that, even just one or two. I didn't know they could even be manufactured that quickly. How long through endless proposal writing, statistical justifications, budget meetings, pricing, following the "rules" in ordering to avoid the appearance of favoring certain companies. Then the company would be back ordered. Then once the thing reaches the doorstep you can't even think of using it until you (me, in my circumstance) have written the SOP (Standard Operating Procedure) 15 pages of which had to be reviewed and passed on by Infection Control and other departments who had no actual knowledge of the procedure.
Well, that's a rant and I'm glad they can bypass some of these hurdles and get the people treated. I'm just surprised at the blame/accountability being placed on politicians who didn't know any more than I did about a never heard of virus that would create such a catastrophe throughout the world. That's all. No need to reply, Mark and Kevin. I already know what you will say.