If you took 30 years to deliver a project - would you still have your job? The fact that the AMA is still around means this is not one of the axes they are evaluated on. Classic misaligned incentives.
Or you’re saying they failed at the made-up goal you wish they had, and therefore failed?
The job was to increase the number of doctors by increasing the number of residency spots. The poor folks have been lobbying for 30 years, but they are just not too good at it, gosh darn it.