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 Saudi Facade
Stay tuned. I’m not sure there has been a more incompetent regional military power as the Saudis since Italy in WWII. They have the 8th largest military budget in the world. The Saudis pour billions into their military for the very best state-of-the-art equipment...