A constant complaint of government antagonists and private-sector advocates is that the public sector doesn't have to compete, and so there's no real incentive for government managers and employees to do the absolute best job they can. There's just no real competition for government services — it's not like people can get Swedish health care here (although those Canadian pharmaceuticals are another matter entirely). Mandates need to come from the top levels because individual agencies have practically no incentive to innovate that exceeds their desire to not be publicly castigated for innovative failures.
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