[nimbius]

for people outside the sphere of US healthcare it can best be compared to the Warhammer 40,000 series Adeptus Administratum. Such is its immense size, that whole departments of the Administratum have been submerged by a sea of complex bureaucracy, becoming lost in loops of paper trails. Other departments have continued to dogmatically operate and carry out their founding function, even if the intent and requirement behind them no longer even exists.

[peyton]

Yeah, the “just do single-payer” people have no idea that identifying that “single payer” will take 40 years of bureaucratic infighting before we can crown the bureaucrats to helm the largest bureaucracy in human history.