Another interesting post. You must put a lot of effort into these articles if it takes me 20 minutes to read and digest them.

Have you ever heard of Jerry Pournelles' Iron Law of Bureaucracy?

In any bureaucracy, the people devoted to the benefit of the bureaucracy itself always get in control and those dedicated to the goals the bureaucracy is supposed to accomplish have less and less influence, and sometimes are eliminated entirely.

I see this happening in our institutions particularly healthcare, like you mentioned and education. The institution itself has become more important then the goals it was set up to achieve.