My wife was injured during poorly conducted PT at the police academy. She ended up with a labral tear in her hip that precluded her return to law enforcement and has lasting consequences to this day. The wonderful, highly competent worker's comp doctor signed a letter that OK'ed her return to work with an injury that actually required surgical intervention to correct. We had to go to a competent doctor, pay for an MRI out of pocket, and then get a lawyer to have her hip fixed.
My ankle got REALLY messed up on the second injury. I had a mild injury at the end of a longer run on a irregular surface. I immediately went to the clinic. I told everyone I talked to - the receptionist, the nurse who screened me, and the PA/Doc who saw me - that I had a prior history of injury to the same ankle that had required extensive physical therapy to repair. They gave me some 800mg Ibuprofen. This occurred on a Saturday and I specifically asked if I should run on Monday. They said "don't worry." I ran on Monday, it was the last time I ran for two years afterwards.
Let's just say that employees in the public sector don't get the best care. You'd almost think we were expendable cogs in a machine.