Healthcare part 2

  Another major concern I have with government interference in healthcare is bogging down the system with regulations.  Seeking to fix the problem is one thing, but government systems are all too often inefficient.  The sad fact is that many bureaucracies end up seeking to grow their size without regard to the necessity.  And so we have an unnecessarily large and redundant government.  Once again, it comes down to tiering government structure.  There are places in which redundancy is necessary, primarily in the Department of Defense and intelligence networks.  These redundancies are a matter of security.  But for many things, the best way to run something is to have the most local level conduct the actual operations, while the higher levels of government focus on broader oversight and policy.
  In government, the more local control there is the easier it is for the various entities to adapt to conditions.  The truth is that someone sitting in an office in Washington, DC, Sacramento, or San Francisco has no clue what is really going on in Redding CA.  Or any other smaller town throughout the nation.  The guy in DC or Sacramento needs only to be concerned with talking to the next level down, and occasionally spot checking the local stuff.  Let the local stuff take care of itself.  We don't need redundancy in the civilian stuff.  We need local agencies in control of everything at the local level.