Lion
The first 2 are deliberately "inefficient" since India and China use their public services to give people work and an income. Arguably, better than a benefits system when you would otherwise have mass unemployment.
The third is inefficient by accident - what a shambles. The bigger the organisation (private or public), the bigger the bureaucracy and the bigger the inefficiency. The NHS is simply too big and even the best private sector managers would fail to contain it.
Clever operators know the dangers of bigness. They break their organisations down into containable, self-autonomous chunks each working to clear objectives that contribute to the aims of the organisation as a whole. Arnold Weinstock at GEC was a classic example.
jon
