Social spending is good if the maximum efficiency and honesty is pursued. A good public health system, for example, is the French, where public and private structures compete to offer to citizens the best service for what the national health system reimburses. Italy, when old system that allowed public structure to let costs and wastes go out of control was abandoned, initially tried to copy the French system, but then it complicated it for political reasons nobody understands, except politicians and national health system bureaucrats.







