There are people who build hospitals and there are people who stand around talking about who should build hospitals.
The former group in any population in any country is very small. The latter group is very large and thanks to the current architecture of the internet have gotten so over amplified that they think they actually matter.
Their resumes don't have any actual achievement beyond drawing attention to things. They don't matter. People who are driven to build hospitals will keep building hospitals irrespective of all the "discussions" going on.
And the latter are even more important, especially if we don't use a contrived example of the hospital and naively assume "more is better", but extend it to other things people can build where building them is controversial and/or more is not necessarily better. (And even for hospitals, there's the question of how to build them, where to build them, and how to run them).
The people that just "charge ahead" and build are marginally useless. Given the funds, one can hire workers in almost any part of the world to build a hospital to spec. That's the easy part.
Getting the funds, knowing why, how, when, for whom, etc you want to build X, whether X is good, how close it should be to other Xes, whether we really need more Xes, and what's the opportunity cost of building an X, all those are the difficult and important questions.
And those are clarified in discussion.