It isn't just emergency medicine. I know a few nurses scattered in various fields and it is all the same thing. More management sucking up all the money taking resources away from front line caregivers counting on them killing themselves because they are face to face with patients they care about.
Our stock still isn't rising fast enough, let's add another group of managers to figure out how to improve efficiency. Brilliant idea, cut front line staffing ratios. Rinse, repeat.