In the past 48 hours I've spent about 14 hours in a hospital emergency room

[stopdiggin]

7. I think you're just seeing

that the people are getting worn down. No reflection on them -- just what happens after you deal with something day after day, for weeks and months on end. And, if they were as busy as you suggest, there's probably a certain amount of prioritization going on. I don't know whose job it would be to enforce mask policy and sanitize surfaces -- but I can't imagine they can spare nurses (or even orderlies) at the moment -- and that would be an issue that needs to be taken up at the staffing or facilities level. But, overall -- I don't think you're seeing negligence so much as people just being plain overworked.