Just as a note - I'm someone who advocates that government should absolutely be run at a complete loss. But inefficient and providing service to everyone are n

Just as a note - I'm someone who advocates that government should absolutely be run at a complete loss. But inefficient and providing service to everyone are not necessarily the same thing. Planned inefficiencies is what are important. For example - the college I work at knows that we're going to lose our shirts on every nursing student, something to the tune of 25k loss for every student, every year in that program. And because that is what the area needs, that is what we do. It's massively inefficient. It would, at a for-profit, be the first program to get cut. But we can plan for that loss, and make up for it in other areas. That's an efficient and effective inefficiency.