Silos of care

I am editing an article to be published in an upcoming issue of MLO, and I am struck by a sentence: “Our healthcare system has developed in fragmented silos of care, and this has created an inefficient system that causes poor utilization of lab tests.” The sentence is written in the context of LIS–but I'd be interested in hearing your reaction to it in that context or any other. Do you agree with it? Does it reflect your experience? Is what it describes a source of frustration for you as a laboratorian? If it alludes to a real problem, what might be some of the real solutions for it?