If you don't think government bureaucrats can make questionable decisions, then you haven't dealt with many government bureaucrats. Thomas Sowell http://townhall.com/columnists/ThomasSowell/2009/04/22/words_versus_realities
In his "Words versus Realities" column, Thomas Sowell points out some of the differences between health care, medical care, health insurance and some of the misleading political rhetoric used to hide the real issues.