Sometimes with big policy stuff I wonder how much is the effect of the policy vs the effect of the overall societal inertias and momentums there are. Like regardless of that policy, would costs have massively increased (inflation, financialization of healthcare)? Would organizational overhead have increased? Has it decreased in other industries? The policy might still have made it worse, of course.
It's most likely that technical problems are turned into organization departements. The people making the decisions lack the knowledge and tools to solve them efficiently. They gain nothing from solving the problem itself but they gain from growing the organization in size. The solution is obvious while the path to get there can be very convoluted.
