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@bq
Why does it have to be so complex? Why is the paperwork so ingrained at every stage? You get this money from somewhere now. What's so different if you got it from somewhere else?
Why does everything have to be processed and audited by armies of civil servants? This stuff isn't so different from what every other company does without such a huge administrative headcount. What you are describing is the general expense of every office in the land. Nobody else finds it necessary to make it so complex. Why couldn't the electricity, gas and water bill direct to the Dept of Health, the waste incineration company bill direct to the dept of health or Salaries be billed direct to the dept of health. etc etc.
You seem to be saying that there is nothing wrong with the current system and it doesn't need to be fixed. But until a person in Bethnal Green can get the same drugs as someone in Cumbria, Shropshire, or Surrey then it does.