[Nasrudith]

That sounds the exact opposite really - one is answerable to voters and while the other is capable of acting like a MLM organization that does nothing for the nominal cause except marketting.

Look at the old institutional system - they had loads of bad PR and were killed off - there may have been cynical reasons for doing so but it was held accountable.

Then look at all of the private "reparative therapy" and other opposite of helpful private organizations still around.

Not that being able to opt out isn't a big advantage but private bad ones can stick around way longer than public ones.