I used to feel torn in two between the patients and the budget, as if serving one betrayed the other. Now I hold them as a single responsibility, because a place that can't stay open can't heal anyone either. I still make hard tradeoffs, but I make them clear-eyed, without losing the mission underneath.
More people experience this than they realize.
You hold care and financial survival as one responsibility, making hard tradeoffs without losing the mission.
If this sounds familiar, the Library can help you find the bigger picture.