> Why does this malady strike the U.S. Navy and healthcare so severely? Both industries substantially outsourced functionality in the 90s in an attempt to cut

> Why does this malady strike the U.S. Navy and healthcare so severely? Both industries substantially outsourced functionality in the 90s in an attempt to cut costs. Consequently, they are now less empowered (vs historical levels) to effect change in their own processes in a timely manner. Large organizations need to pay more attention to ossification of processes as a serious future risk, that needs to be balanced against immediate savings.