One way to improve government services is to measure quality somehow like private corporations do. Then there is at least a number that can be optimized instead

One way to improve government services is to measure quality somehow like private corporations do. Then there is at least a number that can be optimized instead of just more or less spending. Subjectively as an expat Brit living in California I would say Medicare as provided by Kaiser Permanente is superior to my memories of the 1970s UK NHS.