The government is full of people whose KPI doesn't budge even if they piss away all the tax dollars. And if you leave it to the private sector you get Medicare

The government is full of people whose KPI doesn't budge even if they piss away all the tax dollars. And if you leave it to the private sector you get Medicare-style problems. It's a legit hard problem, deciding which group in a particular situation can use additional resources most efficiently.