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1. Different departments within the hospital attack one another and shift responsibility. If you are too kind, people will take advantage of you and work you to death.
2. The salaries for non-medical administrative staff are pitifully low (except for senior employees), while the working hours are very long and extremely demanding.
3. The entire system is extremely bureaucratic. Everything requires approval from senior managers before it can be done—the only thing you do not need permission for is going to the bathroom.
4. There are many managers who shirk their responsibilities and pretend nothing is happening.
5. There are an overwhelming number of miscellaneous tasks. Administrative staff or secretaries often have to take on multiple roles, and still have to come in and work unpaid overtime on Saturdays and Sundays.