Then they can't retire.
Sorry this is too funny. Let me see what it is you want:
- More efficiency
- Larger budget
- Disregard for cost
Numbers 2 and 3 are completely inconsistent with number 1. You gotta love the thinking here. They're doing a bad job, so give them more money. Then expect them to be more efficient when you give them more money (oh, and start doing a good job now that you've been rewarded for doing a bad one), then expect them to disregard cost completely while being efficient.
The biggest problem when dealing with health care (and there is a thread for this discussion), is that people tend to want to remove a critical part of economics when having the discussion. People never want cost to be considered, they just figure "it's worth it, no matter the cost". Obviously everyone thinks "life is more important than money", and to a certain extent they're right. But anytime you take the money equation out of a service industry, you're headed for bankruptcy, no matter how big the budget is. The amount of money you can spend on health care for each and every patient is infinite. Seriously, you could expect you patients to come in for an MRI, blood tests, and a host of other tests every other month - and that's just when they're healthy. There is always a more expensive machine, or a more expensive treatment, or a host of researchers willing to work for years on a better cure.
Fundamentally speaking you cannot remove cost from health care. I know it's hard to hear. The best person to decide what is worth it is the patient, not the general public. Only the patient himself can put a dollar number of pain or health. And make no mistake, a dollar number must be placed.
Ok sorry for the rant. It does count as off-topic for the most part. Still, it's rooted in an understanding of economics (price, supply, demand), and that's very central to the discussion of minimum wage.