This is an excellent reflexion. It applies to so many aspects of life, here and elsewhere. The story of the pancreatitis patients illustrates the situation brilliantly.
I remember hearing a doctor say that it was frustrating to have to treat certain kinds of patients. He gave me some numbers of the trauma wing and how most of the budget and resources was used on motorcycle riders (most of them associated with crime).
You gotta do what you gotta do, they say. Everyone has to make the needed adjustments to be where they want to be.
It happens in schools too, where the kids that are doing okay get little support, while the one or two psychos take the majority of time and attention. I understand it more in a school though, as for the most part, all the kids are innocent in the circumstances they find themselves in.
I have a friend who is a top heart surgeon here and half of his patients die. The reason is that they hand him the worst case scenarios that are already so far gone, there is not much that can be done, but if there is something, he will be the one who can likely do it. Perhaps his effort would be better spent on others.