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Top leaders are not always nice people. Think of the great dictators of the 20th century, from Stalin to Pol Pot. Besides massive ambition, they all tend to have obsessive focus on what is most important to them.
When Churchill was leading the British war effort, penicillin was in scarce supply. In June 1942, the US had enough stocks to treat 10 patients. As supply began to grow, the question of priorities came up: who do you treat first with this life saver? Who would you prioritise for treatment with the new wonder drug:
(a) soldiers who had received serious wounds in combat, and needed large amounts of penicillin? ...