In reality I supose that most things that are regarded as "essential" services. Say like. Post, Power, Medicine, Public Transport. should (in theory) work best and be most efficient as a cohesive "whole". They fall apart when allowed to "compete". Eg; How can the Rail to London, compete with the rail to Bristol?. Has anyone tried to get a fare from (say) Edinborough to St Ive`s?IMV it is comparing apples to pears shurely?. Even in the NHS. I am a customer!. Each "trust" wants to charge the next "trust" for services. So, I fall ill in Surrey, but my home is in Yorkshire, to accomodate that they employ more admin, who argue about "who will pay" who in turn take cash from the "frontline", while the patient waits blocking a bed, and the various operators decide who does what!.. Yet the title is National Health Service?.
Pete.