Is this a poor reflection of the education or healthcare system?

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I read an article today that stated that nearly 70 people were arrested in Italy for working as nurses while not qualified to do so. http://www.telegraph.co.uk/news/worldnews/europe/italy/3704177/Italian-police-arrest-68-fake-nurses.html Italian police placed 68 people under house arrest on Wednesday on suspicion of working illegally as nurses – some in operating rooms – after buying fake diplomas, an official told AFP. This is pretty disturbing. How comfortable would you feel if the nurse working in the operating room when you are in need or if have your life on the line isn't qualified to do the job? Some of those arrested had been working as nurses since the seventies: They worked as nurses "with no training whatsoever, sometimes since 1975,"police Colonel Ernesto di Gregorio said. Is this incident an indictment of the education system when unqualified people who didn't receive the education, that industry and government deems is required, can perform the duties as nurses and last for decades in the job? Perhaps this occurrence is a testament to how poorly run the healthcare system is and the incompetence of management and HR for not properly screening candidates or removing them from the workplace when they are found to be incompetent? Maybe unions are partly to blame because they make it difficult to fire poorly performing or negligent workers? Do business, government and industry have the right tools to face degree forgery? Is document fraud an epidemic? Maybe you think that the education system doesn't properly prepare students and that degrees aren't worth the paper they are written on anyway?