There needs to be some central or regional oversight body to ensure standards are being met, equitable access is being maintained, etc. A lot of poor areas are

There needs to be some central or regional oversight body to ensure standards are being met, equitable access is being maintained, etc. A lot of poor areas are undeserved by these patchwork networks and several infrastructure deficiencies can compound. Example: poorly maintained roads leads to potholes, those lead to drivers swerving or getting otherwise surprised leading to injuries, which are insufficiently addressed by local healthcare. Imagine if we had a tyrannical electric utility who cut your power for a bill paid one day late.