Having been part of a bureaucracy in my first career, I know something about this. Bureaucracies exist to manage complex policies and civic processes. What we generally regard as “bureaucratic inefficiency” is a manifestation of legal and regulatory complexity, often more complex than the bureaucrats themselves can grasp, certainly difficult for most citizens to understand. The policies and systems are complex because they emerge from a political process that is responsive to many often conflicting interests. I’m not sure what an alternative to this complexity would be, but I don’t think it would be a Good Thing. What we might hope for is smarter bureaucrats, just as we hope for more and better engineers and scientists.
Here’s video I shot at the town hall meeting. Lloyd Doggett is talking. I just shot his talk. When he was done, he invited people to speak, alternating healthcare reform proponents and opponents.