It's funny, but people think there is something inherently inefficient about government, but inefficiency and unresponsiveness are usually more a function of in

It's funny, but people think there is something inherently inefficient about government, but inefficiency and unresponsiveness are usually more a function of incentives, as well as obvious stuff like organization size and structure. Medicare is on average more efficient than private health care, for example. Health care might be a situation where profit incentives don't create the best outcome. In the case of the Nevada officials, there is no incentive whatsoever to actually fix the problem.