Staff loyalty to mission and shared values can be chalk and cheese. An example of this can be seen with the changing face of medicine, in Australia. As recently as the early 1980s, your doctor was working in a solo practice or with a partner or two, who made house calls after hours, if you were too ill to go into the practice, and, in regional and rural areas, was on call after hours. And typically, people stayed with a particular doctor as long as they were in the area, and the only time they changed was if their doctor retired or died.

Nowadays, however, it is not uncommon for say, university students, particularly those who've come from regional areas to study, to have a GP they see when they're at home, and the University Health Service during semester, or, for some working people to have a GP near work and a GP near home, or, to have a GP who's an expert in say, diabetes or asthma, who they see for that condition, and another one for routine things. And, I have even known of some women, who might say have a GP for shared ante-natal care and a GP for routine matters, AND, when it comes to male/female, I have known of some women who say, for their female health problems (pap smears, etc.) they prefer a female doctor but for general matters a male, and there could be some males who prefer a male doctor for male health problems but run of the mill problems a female, and there's nothing wrong with that.

I digress, I know, but many modern medical clinics are owned by corporations that own a chain of them, and the doctors work for an hourly wage or salary and part of the attraction can be, say a doctor is also an artist or musician as well, they might think, "Okay, Monday to Thursday, 8-5pm suits, with every fourth Saturday, 8-4pm and that gives me three days a week to paint, play the guitar or piano." And some doctors move around because they find more attractive working conditions elsewhere or, in some cases, the major corporations say, "Okay, ten minutes per patient," and the doctor says, "Oh, but Mrs Brown needs extra attention, not because she wants to show me pictures of her grandkids, but because she had Type Two Diabetes and a couple of other matters and she needs more time," and the managers say, "I don't care. 10 minutes, and if Mrs Brown needs more time, she can rebook for 10 minutes the following day."