Mike your point about social services and Gov orgs not running properly is valid.
Now I do not know what it is like in USA but our services are a mess. Always have been. Recently it is an even bigger mess. Cause some idiot decided to let privately run business take them over. Profit grabbing became the goal rather than providing a good service. Now patients are scared to go to hospital especially for a minor op as MRSA and C dificil plus other nasty superbugs are almost certain to be contracted. Standards in other institutions have fallen yet we now have to pay even more so as to line some fat cat's pocket.