Gregory's Server@Tupp_ed
The cry for “more efficiency” in services is hard for voters to reject, since it sounds like a good thing; who wouldn’t like to pay less for the same result? But you’re absolutely correct: most systems get large efficiency gains only at the expense of robustness, quality, or convenience.
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 @ThreeSigma @Tupp_ed Correct me if I’m wrong, but isn’t the budget of the health service almost multiples of what it was 10 years ago? If money is being flung at it and you don’t get results then “efficiencies” might explain a few things. Efficiencies doesn’t mean that anybody works harder, just that processes are efficient. The easiest way to make a hospital more efficient is to reduce the number of empty beds. I’m not sure which country’s health services you mean, but I wouldn’t say outcomes are the same as 50 years ago for any of them. |
@ThreeSigma @Tupp_ed
There's a reason that the relationship between Time/Cost/Quality is so central to business management.
Once the "accepted wisdom" of public service inefficiency has been established, it frees people to demand better, faster services at a lower price.