Centralized power has a problem: the individual. Every person is a potential disrupter of The Plan, and disruption must be forbidden. Otherwise, why have a central plan? This applies regardless of whether the planning is economy-wide or for particular sectors, such as medical services. (See F. A. Hayek’s The Road to Serfdom.)
The US Paper War Tiger is Way Behind
The Ukraine and Russian forces have been building drones for less than three thousand dollars and the "Affordable Mass" efforts in the US had an original floor price of three hundred thousand dollars because that is the way the American "defense" acquisition system...
