This story was produced by the State College regional bureau of Spotlight PA , an independent, nonpartisan newsroom dedicated to investigative and public-service journalism for Pennsylvania. Sign up for our north-central Pa. newsletter, Talk of the Town, at spotlightpa.org/newsletters/talkofthetown .

One morning in May 2023, a hospital employee opened her email and read through a woman’s complaint about how her husband’s cancer care was deteriorating. A senior administrator had forwarded the message with a terse note: “Another one.”

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