This is how I see it too. Even the most decent people can't completely avoid harming others if they had to operate within the confines of the sick system and follow its rules.

But it is upon each individual professional to confront the system and its flaws as much as they can if they want to preserve their integrity. Each one of us (professionals) makes this choice at each given moment and that choice is our responsibility. After all, any system is created by individuals and while it has a life of its own every person who is a part of it is responsible for how the whole system functions.