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Theyre government ran programs. People expect them to operate with the efficiency of any normal business. The problem is businesses operating to the rules of a "free" market are driven by entirely different rules than the ones driving a government ran program.
In the government, program funding is dictated by the people in office and their political alignments. First looking at a scenario where the people in office are in support of a program the following outcomes usually happen: 1. Program is successful resulting in stagnant budget growth when times are good and budget cuts when times are bad. 2. Program is unsuccessful resulting in the people in office responsible for the program being unable to call the failing program a failure so they advocate for increasing the budget. Every raise and tier of compensation to the employees is decided in DC and eliminates all shreds of performance or tenure based raises. Employees working for government programs have absolutely no reason to want to excel at their job.
The concept is completely futile. Inprovments only come when enough people get so sick and tired of a program's incompetencies that people protest or the media catches wind to make it a talking point important enough to affect elections.
It's the foundation to Marge Simpson's sisters on the Simpson's and how they are shown working at the DMV. Incase you needed supporting citation for my opinion.
I'm also not commenting as any advocate for either political side nor am I implying "there's no difference between the right and left." I'm simply saying the foundation that government programs must adhere to will never produce an efficient operating environment for any program to succeed under.