Efficiency, sure, what's inefficient about the USPS? I sent a package over my lunch break today, and my package delivery is 10x better delivered by a USPS mailperson than someone hired by amazon. (A USPS mailperson leaves a package at my door, but I've had packages from amazon thrown into my bushes, or dropped beside the street)
Medicare is still more efficient than private insurance, even allowing for Social Security handling a lot of the administration you mention. Social Security must exist, and must provide the services it does, so you would of course rely on their infra if you're Medicare.
could you please share your thoughts about internet access in the US of A? it seems that despite the best efforts of Saint Market, long may he reign, and all of this wonderful competition and efficient allocation of resources and so forth optimizing for short term outcomes has led to mediocre speeds and monopoly-ish behavior/choice in most areas.
or that Saint Market has led to pretty poor health outcomes in the USA despite spending massively amount more per capita than other nations
or that Saint Market's desire for profitability and efficiency leads them to, say, not replace lead pipes which ruin health of various communities (probably far away from yours, so it's OK .... for now)
it's almost like evaluating things based on extremely myopic criteria that people use to judge for-profit companies leads to outcomes that optimize for local maxima but are horrible when viewed from even slightly more far out, like, i dunno, a few years.
can you acknowledge that some things are best evaluated on performance outside of "profitability" and "efficiency" in the time span of 3 months?
Management responsible to the bottom line will sometimes improve those things. Management responsible to … I don't know what a government agency is responsible to? rarely upgrades, review, improves. It is axiomatic of government agencies that they exist for their own sake. And cost a bucketload of (our) money.