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I'm not really OK with it, but I never got a vote on the subject.
How do you mean? Are you too young to vote?
No. As in it was never put to a vote, at least not to the general public or to the rank and file medical workers.
I imagine they mean that it's not something we have a choice in deciding. There's no literal vote for it, those running health care facilities and making staffing decisions don't care what we think. It's not even like other decisions where we can do research and make ethical choices. If all the hospitals do the same thing and we need urgent medical care, it's not like we can say, "Oh, I'm not going to that hospital because they won't treat their staff right."