> Public services _are_ invariably inefficient The NHS used to be very efficient, when it was managed largely by clinical staff. Now it has as many professiona

> Public services _are_ invariably inefficient The NHS used to be very efficient, when it was managed largely by clinical staff. Now it has as many professional managers as clinical staff, and they all have to be paid... Also an awful lot of the NHS fuctionality is now farmed-out to private healthcare companies, who need their rake-off. As far as "professional managers" is concerned, these guys are mostly NHS managers, not the kind of managers that could easily transfer into a private company. Their expertise is in some obscure corner of the NHS.