I worked a decade in the public sector in Denmark and I think it’s sort of natural when MBAs enter and flood the work with pseudo work. A nurse went from maybe filling out paperwork a few hours a week to two full days a week. What was “fun” about that is that I worked on the data, and I may have been the only one to ever come hear 99% or it as it was only ever audited after someone did something bad. They didn’t even use the data for anything analytical because it tended to show just how bad their budget cuts were hurting the area and that the best way to improve quality was through more resources and less administration.

Add to this that most public servants make very little money and that nobody in the chain of command actually listens to the people on the floor… Well why would they care?