@pyoor Several reasons. Good user interface design, like any other specialty, is hard. And it usually takes quite a bit of time. In essence, the designer needs to deeply understand the needs of the end users as well as the constraints of the business.
Now consider that interface design work is often considered a specialty task. Many companies seem to get by with maybe 1 or 2 people, if that, for all of their design needs.
And before you mention consultants, consider just how expensive *really* good design specialists are.
And then consider that you are dealing with an already niche subject - medical software. So now, you need several specialists not only in programming but design who are also proficient in medical lingo *AND* the huge medical infrastructure (both tech and not). And lastly, consider that, often, doctors are leading these efforts and they are stretched SUPER thin so they can't devote much time to it.
@pyoor Geez. And here I thought ours asking this question about the 80 yo female was the worst it could get. LOL
GIGO.