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.)
Rust-Bucket Life Extension for the Win
Ticonderoga Class Arleigh Burke Class It seems counterintuitive but keeping old ships commissioned is expensive. Expertise on the hulls ages out and retires, technology moves on and maintenance demands increase and don't decrease. These life extensions are random and...