Eventually, almost any organization distorts from its nominal goal to self-perpetuation.
As the numbers get larger, it becomes easier and easier to suggest that the organization's continued existence is still a net positive as you waste more and more on the organization bloating.
It's also surprisingly hard to avoid - consider how the ACA required that 85% of premiums go to care, and how that meant that the incentives became for the prices to become enormous.
As the numbers get larger, it becomes easier and easier to suggest that the organization's continued existence is still a net positive as you waste more and more on the organization bloating.
It's also surprisingly hard to avoid - consider how the ACA required that 85% of premiums go to care, and how that meant that the incentives became for the prices to become enormous.