All well and true, however, I came into my intimate acquaintance with ISO 10993-1 while working in the service of some VERY normal companies, all having some subset or another of the hardships and biases you described so beautifully. Yet they were able to acknowledge they needed help and they allocated it enough importance to hire me to conduct the review.
[If I had contact with your ideal company I would have been working with them already
]
[If I had contact with your ideal company I would have been working with them already