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So someone who's driving an organ across town for a transplant and takes 10 minutes leaving the parking lot to wait for a completely clear road without a single car in sight and then slows approaching every intersection in case the light turns yellow and then finally triple checks with management that all the forms have been received and validated, leading to the patient dying, isn't incompetent?
No, just no. Unwarranted caution is incompetence just as much as insufficient caution, and this was egregious. And this is assuming the story and actions were errors in decision making rather than political direction (which would then be corruption). There's no possible way an error of this magnitude over this long a time with this great a consequence can be described as just a competent and upstanding civil servant trying to do a good job.
In that analogy, are saying the driver should not slow down at all...even when running through red lights? First of all, you're assuming there's no one else on the road. But if that's your strategy, then that organ isn't going to make it to its destination. That guy's going to get t-boned before he gets there.
What you're calling "unwarranted caution" really is a matter of perspective. Since you can't control every possible variable along the route, you have to use some degree of caution, or you're going to get hit. It's just a matter of how much caution, and that's also impossible to know in advance.
Sure...maybe you get lucky and everyone else on the road gives you a wide berth, and nothing goes wrong. But in this case, there's also someone out there actively trying to stop you from making that delivery. And that being the case, all your lack of caution does is provide them with more opportunities to stop you.
How do you even function in the real world?
Just like any other person. What world are you living in?