We owe women more than to merely marvel at institutional failures
Responding to the news that hundreds of women may be ensnared in a living nightmare over smear test failures, Taoiseach Leo Varadkar said he did not want to condemn any individual. He would wait until he knew the full facts. He may be waiting some time.
Remember Vicky Phelan, the woman whose mistreatment brought this scandal to light? An error first identified by an audit in 2014 took two years to be even reported to Ms Phelan's physician and a further year to be communicated to her.
Even with life and death issues at stake, process and protocol seems to have taken precedence and the needs of the patient got lost along the way.