Neat to see we're all on the same page. I was going to bring up the nurse thing, too. Like
@Overly Serious said, you don't need a top-down conspiracy for there to be motivations and incentives in place for people to hurt you. Look at things like the whole "white privledge" discussion in healthcare. If you have a nurse who sees her patient as more privledged than she is, she can morally excuse neglecting that patient on the grounds of promoting "equity". No one would need to tell her to do that, it would just be a natural thing to do within that ideology. It's the same as if you had a nurse who wanted to prioritize the care of a family member or someone of the same religion.