Bob,
I have no doubt that the institution's organization is a part of this problem.  That said, I also think Francis could and SHOULD have done more.  His "Commission" looks and feels more like a smoke screen than something real.  NO DOUBT they've done some good work, but as I see it, that work is all on a side track, and the early implications from Francis and O'Malley have disappeared.  

I'd much rather see Francis go to bat on this issue, and truly fight for it, than many of the other item's he's chosen to pursue.  I say that because in no small part, every time he chooses something else, he's minimizing the priority of this one.  That might not be the case if real progress were being made.  Simply put, it's not.  And that's what saddens me.  He may not have the power he needs.  But I'm gonna guess that if he really wanted accountability, he'd find a way...