My 42 years of IT experience all the way from a beginning code writer to database administrator, including 13 years of management taught me that quality of design and functionality is critical, and CAN be delivered with adequate MANAGEMENT of entire projects.

the current ObungledCare is a prime example. My career spanned the change from dependability to delivery, and I think I understand the consequences. The major consequence is the ongoing cost of supporting failures and validity issues daily.

You either pay the one-time cost of proper development or the ongoing cost of supporting bad design, development, AND testing.