Some are poorly run but that is often against some standard of optimal efficiency that orginizations in the real world don't seem to bear much resemblence to at all (and that's assuming it's just poorly run-ness not corruption you are dealing with). There's poorly run state programs, heaven knows there are poorly run corporations (most corporations probably) etc.. Granted I think it's hard to run a real small business and be too inefficient and not go belly up, but corporations seldom face that kind of pressure.

Here's an example of poorly run: many people who lost power after Sandy still do not have power back. That is a private utility (my ideal model for utilities is city run, because it seems to work well). And yet FEMA is not stepping in, despite that people are without power for months, their electrical wiring shot, mold growing on their houses, and cold! Occupy Sandy has done more for many of those affected by the storm that FEMA. Inefficiency? All around .... and more than enough to go around.