The True Face Of ‘Health Reform’, by Karl Denninger. The last few decades have seen a huge growth in administrators in western universities, research organizations, hospitals, government, etc, with relatively small growth in the number of people who actually do things. This example on the growth of US healthcare workers has a nice graph:
If these were doctors and nurses [being added] that might be understandable. But they’re not. They’re nearly all paper-pushers who contribute exactly zero to actual consumer care.
The problem is that all of these people draw salaries and thus drive up the cost of medical care by ridiculous amounts. In fact last month some 20,000 people were added to the “health care” employment rolls and nearly all of them will never provide one second of actual care to an actual person — but every one of them has and will massively drive up your health care costs.
The growth in administrators have become make-work schemes for parasites who do little to add capability to the organization. Worse, said administrators take over the running of these organizations, for essentially their own benefit. I refer you to the Iron Law of Bureaucracy:
Pournelle’s Iron Law of Bureaucracy states that in any bureaucratic organization there will be two kinds of people”:
First, there will be those who are devoted to the goals of the organization. Examples are dedicated classroom teachers in an educational bureaucracy, many of the engineers and launch technicians and scientists at NASA, even some agricultural scientists and advisors in the former Soviet Union collective farming administration.
Secondly, there will be those dedicated to the organization itself. Examples are many of the administrators in the education system, many professors of education, many teachers union officials, much of the NASA headquarters staff, etc.
The Iron Law states that in every case the second group will gain and keep control of the organization. It will write the rules, and control promotions within the organization.
Drain the swamp.