Bernie&#x27;s real expectation is that things will get better if people get off their butts and take action.  I doubt he believes that government programs will be magically efficient and effective without the right people to make them that way.<p>Government jobs are available.  You can&#x27;t really complain about something being &quot;managed so poorly&quot; unless you&#x27;re one of the people in that organization trying to make it better.<p>Currently the U.S. has a system where doctors&#x27; offices need SEVERAL <i>full time</i> staff <i>just to deal with insurance companies</i>, which is <i>insane</i> and <i>nothing</i> like what I have seen elsewhere.