... good question!
And the answer? ... ... bit of BOTH, probably.
I refer, of course, to our beleagured National Health Service - very much to the forefront in the news during this past week.
Once hailed as the "envy of the postwar world", 's NHS is/has been for years, in crisis - a shadow of its former glory - as it approaches its 70th anniversary.
So where has it all gone wrong? I mean, apart from far more people living to a much greater age than they did nearly three quarters of a century ago. Too many chiefs (notably penpushers) yet, by contrast, not enough "indians", definitely!
I take my hat off, though, to the dedicated surgical. medical, paramedics & nursing professionals who continue to work tirelessly (on our behalf) in hospitals throughout the length & breadth of the land.