The government makes EVERYTHING more complicated. When it comes to performing maintenance, the US Navy has a complicated system in place (or did when I was in)called the Material Maintenance Management (3M) system, which controls all PMS (Planned Maintenance System). PMS is time consuming and overly complicated. The procedure for each maintenance action is written on an MRC (Maintenance Requirement Card.
What makes the system so complicated and cumbersome is the fact that government bureaucrats have managed to turn the system into a set of procedures that make doing your taxes seem easy. Failure to follow the procedure exactly can and does end with sailors being courts-martialed. Maintenance is scheduled for each work center, and the work center supervisor schedules each person for his maintenance. Let's take a look at a required daily maintenance activity (D-1R). We are scheduled to perform that activity toady, so we look for the MRC, on the Maintenance Index Page (MIP) and confirm that it is correct MIP by checking it against the LOEP (List Of Effective Pages) after checking the effective date to ensure that the LOEP is the current one. After locating the current MRC, we confirm that it is correct by checking its effective date against the one on the MIP.
So take a look at the card here. Granted, this one is a joke, but looks remarkably like the real ones. There is a section that has the information about the equipment on the card and the frequency of maintenance. Then an area that specifies who may perform the maintenance, and the man hours it will take to complete. There are sections that specify safety regulations that must be followed, along with a list of every tool that is required. If the card calls for a 6 inch screwdriver, you better not get caught using a 4 inch or an 8 inch screwdriver. The procedure is then listed, and it must be followed exactly as per the card. Failure to do so can land you in prison.
These are the numbskulls that are getting ready to run our health care system. How do you think that will work out?