Do you know why that is the case most times? because they end up outsourcing portions of things to who? Private companies. your favorites Dead.
They are the ones with the consulting firms that overcharge for doing half their jobs.
But lets be real about it. We have multiple examples on how it works. we have other 1st world countries that have done this before as real solid examples. This is not some NEW idea with no history or no examples to utilize. and its not to say we should make it just like those countries ours should be better since we got the cash floating around to do it.
and please explain to me why are you so hell bent on keeping things as they are? knowing they aint working for the average person.
we see how the Rx companies are treating us.
https://other98.com/taxpayers-fund-pharma-research-development