Halevi, it wasn’t a shift, it was a flow from the conversation. It wasn’t a matter of blame it was a matter of seeing where the source of the problem was. When you peel back the layers you have to be prepared to see the whole truth and not be blinded to what you don’t want to see.
No one is immune from making mistakes this includes doctors, pharmacies, hospitals, insurance companies, parents, mechanchim and Rabbonim. We are all human.