Remember the last time you tried to get help? The door was closed, your honesty was used against you, the system was fragmented and no one followed your progress. You were on your own.
Unfortunately, it doesn't look like this is going to change anytime soon.
First-responders' 'survival' instincts are critical on the front line, but they are a liability when it comes to organizational health. This must change. And given the events of the last year, change is not optional.