I once encountered an arrogant fool (who, by the way, boasted of a Masters Degree in Electrical Engineering from a University in Cairo) who insisted that the x-ray unit we were planning to install at his hospital did not need an earth. He said (quite rightly, up to a point) "the machine will work very well without an earth"! As may be imagined, he was trying to avoid the expense of adding an earthing system.

The next time I visited, sure enough, there was the earth cable, "neatly" tacked to the wall with staples. My enquiries regarding where the cable actually ran to just drew blank stares. In the end, I just walked away.
PS: that same genius had wired the general lighting in the operating theatres via the isolated power supply. Naturally, whenever the lights were on, the LIM was already at "half-cock". No wonder, then, that it was "always alarming" as soon a couple of bits of kit were plugged in. Nothing I could do (including, I recall, sketching a diagram in the dust on the floor) could convince this absolute idiot of the error of his ways.