re: #512 WindUpBird

There will always be institutional inefficicencies in any organization made up of human beings. It will always happen, now and forever. it’s why I’m more concerned about a program’s effectiveness than in arbitrary mathematical demands.

That I agree with 100%. My point is to make an effort to remove dead weight, waste and redundancy.

The status quo is unacceptable, especially in a down economy, new government programs on the way, etc (FYI, my own issue with health care is about the cost/delivery vehicle. not the idea. HC will work if government can deliver that HC efficiently).