Business focus … scaling programs up

This is about scalability in processes and administration of programs, not really HPC.
Last month, I took advantage of cash 4 clunkers. I got rid of a car I swore to drive into the ground (which I nearly did). In 4 days, the government is finally admitting, it had 250k transactions.
The dealerships were crowded.
The websites, which were the font of all information and arrangements?
Basically massively overloaded.
Fast forward to today, where I saw this article.

“The program is a great program in the sense that it’s creating a lot of floor traffic that a lot of dealers haven’t seen in a long time,” he said.
“But it’s in the hands of this enormous bureaucracy and regulatory agency,” he added. “If they don’t get out of their own way, this program is going to be a huge failure.”

Ok. Now this isn’t a stretch at all. Simply replace all the auto references in this article with health and healthcare references. Then increase the traffic by an order of magnitude.

If there is anyone left, still thinking about the so called ‘public option’ in government health care, after reading this and understanding the parallels … and being terrified by the parallels … their continuing support of this option is obviously not due to practical, pragmatic, or even fundamentally sound reasoning of the issue.
Chis Samuel was right a few weeks ago when he noted we do need to fix something, as we have some broken bits. No doubt.
But the fix on the table, the fix they are trying to put in (pun intended), isn’t even approximately the correct solution, simply due to the bureaucracy required, and the inherent inefficiencies manifest in this system. Cash for clunkers? How about Healthcare for Clunkers? Done with the same efficiency and scalability to the problem.
I am concerned. You would be too if this affected you.