This has become a societal problem in Sweden during the past 20 or so years.
1: Healthcare efficiency is measured by "completed tasks" by primary care doctors, the apparatus is optimized for them handling simple cases and they thus often do some superficial checking and either send one home with some statistically correct medicine (aspirin/antibiotics) or punt away cases to a specialized doctor if it appears to be something more complicated.
The problem is that since there's now fewer of them (efficient) they've more or less assembly line workers and have totally lost the personal "touch" with patients that would give them an indication on when something is wrong. Thus cancers,etc are very often diagnosed too late so even if specialized cancer care is better, it's often too late to do anything anyhow.
2: The railway system was privatized, considering the amount of cargo shipped it's probably been a huge success but the system is plagued by delays due to little gaps in the system to allow late trains to speed up or to even do more than basic maintenance (leading to bigger issues).
There are examples everywhere. To quote Steve Jobs;
>When a company grows big enough, they want to replicate their initial success. They all thought about the "process" of how the first success was created. So they replicate those "process" across the company. And before very long the people confused that the process was the content.
And you can fit that from small companies to the world's largest government. Most of them forgot about their content.
1: Healthcare efficiency is measured by "completed tasks" by primary care doctors, the apparatus is optimized for them handling simple cases and they thus often do some superficial checking and either send one home with some statistically correct medicine (aspirin/antibiotics) or punt away cases to a specialized doctor if it appears to be something more complicated.
The problem is that since there's now fewer of them (efficient) they've more or less assembly line workers and have totally lost the personal "touch" with patients that would give them an indication on when something is wrong. Thus cancers,etc are very often diagnosed too late so even if specialized cancer care is better, it's often too late to do anything anyhow.
2: The railway system was privatized, considering the amount of cargo shipped it's probably been a huge success but the system is plagued by delays due to little gaps in the system to allow late trains to speed up or to even do more than basic maintenance (leading to bigger issues).