You're right that the technology is the very least of the difficulties. And that's the reason it won't change: nobody's going to do all the work of replicating

You're right that the technology is the very least of the difficulties. And that's the reason it won't change: nobody's going to do all the work of replicating all that bureaucracy just so there's even more organizations involved. The only way I can think to end the corruption is to take away the financial incentive, and AFAIK that would mean either the government runs anything that makes a profit, or to remove price completely.