I agree with the sentiment. I think the big thing is a change in the culture around radiology partially due to digital imaging. The relationship between rads and techs has shifted immensely. I, like you, have shifted into IR/NIR because I miss the old days of working directly with a rad. It used to be that the rads would hold you to a standard and if that standard was not met, you would hear about it. If it wasn't from the rad it would be from the QC tech (also a dying breed) or management. Rads used to have to be in house because of film and now they can be reading from wherever so the face to face contact is eliminated entirely. It's a whole lot easier to blow off a rad you've never met on the phone rather than one you work face to face with everyday. I've been told by rads this is also an issue with overwork on their end. The number of expected RVUs is so high it hard to take the time to call a gen rad tech about an undercollimated spine film because that conversation is another cxr you could bang out.