Personally, I get this from my interactions with the reviewers at the FDA. Absolutely buried in work, always make the best effort to improve your submission, etc.
fda reviewers are extremely out of distribution relative to almost every government worker except those at, say, the Fed. i would caution against trying to generalize that because it is mostly people taking a short term stint out of their profssional/academic career.
sorta like dining in a michelin restaraunt and deciding that cafeteria workers are really good at cooking
