Why Government Agencies Are Infamously Lame and Why Some of Them are Getting Better

Tino Cuellar:  I’d like to think that government agencies are getting better.  I know there are a lot of hardworking people that are working to make agencies more effective and more efficient, but the reality is that agencies vary a great deal.  So we can see agencies that have improved in their ability to keep our food safe for example.  There is new legislation that is being implemented by the FDA that’s important in this regard.  We can see agencies making strides in trying to strike a better and fairer balance in our security policy that takes into account the need to protect people’s civil rights and civil liberties.  The Department of Homeland Security, which is an agency that has had many challenges, is implementing an idea of trying to assess the civil rights and civil liberties impacts of many of its major actions.  This idea of civil rights and civil liberties impact assessment parallels a little bit the more well-know notion of an environmental impact assessment.  So it’s an example of agencies learning over time and sometimes by looking at what each other do. But the truth is that we have a long way to go

It’s very common for people to recognize and often rightly so that public agencies work less quickly and seemingly less efficiently than entities in the private sector.  But what people often forget is that the very basic mission of a public agency is different from day one.  That mission includes satisfying a great many diverse stakeholders. Take an agency that is responsible for food safety, which is an often important and neglected security problem, particularly given that about 48 million Americans get very seriously sick in a single year from a food based pathogen.  Somewhere between 3,000 and 3,500 people by estimates from the CDC die of food borne illness, but when an agency regulates to try to prevent that food borne illness it doesn’t have a single mission.  It can’t focus as a private company often can on the one mission of getting a product that will work, that will sell as much as possible, will make the greatest profit.  Instead it has to ask how can I save lives at reasonable cost and make sure that I do so in a manner the respects the fact that our economy is complicated, the we're an economy of farmers, of food processors that we care about people being employed and we want to do everything possible to make sure that the food gets safer, that people are as protected as possible, but that still means recognizing that there is diverse stakeholders and different imperatives that need to be thought of every single day.

No agency is perfect, but I think we can learn something from watching public health agencies that have dealt with problems like infectious disease and food safety.  So the FDA is an agency that has faced challenges in the past involving the drug approval process and it continues to face a challenge of working faster and dealing with fewer resources, but also maintaining the quality of its approval process.  Nonetheless, I think you can look at the FDA and see some important developments that ought to make people notice what it’s doing.  The FDA is pursuing a regulatory science initiative for example to improve the process through which it approves medical technologies and to basically be in a position to create entire new industries by making sure that regulation does not short shrift safety, but at the same time provides an opportunity for these technologies to develop more quickly.  

The FDA is also making important strides in implementing food safety legislation.  Its partner agency in the Department of Health and Human Services, the Centers for Disease Control played a very critical role in the response to the H1N1 Virus and I think over time has demonstrated that it’s very much one of the best agencies operating in this space. So I'm hopeful that other agencies can recognize over time that there are basic tools that any government agency can use to improve its performance if it does so smartly and it looks at long range goals.  These tools include professional competence, carefully thinking about promotion paths and its internal culture, figuring out how to develop a sense of connection to the public such that there is an opportunity for input from the public, but also a way of leveraging the expert judgment that we want agencies to have that is difficult for people in the general public to maintain.

Directed / Produced by

Jonathan Fowler & Elizabeth Rodd


Mariano-Florentino "Tino" Cuéllar on a few telling examples of government agencies' ability to learn from their mistakes, and from the successes of outsiders in the public and private sector.

Compelling speakers do these 4 things every single time

The ability to speak clearly, succinctly, and powerfully is easier than you think

Former U.S. President Barack Obama speaks during a Democratic Congressional Campaign Committee rally at the Anaheim Convention Center on September 8, 2018 in Anaheim, California. (Photo by Barbara Davidson/Getty Images)
Personal Growth

The ability to communicate effectively can make or break a person's assessment of your intelligence, competence, and authenticity.

Keep reading Show less

Antimicrobial resistance is a growing threat to good health and well-being

Antimicrobial resistance is growing worldwide, rendering many "work horse" medicines ineffective. Without intervention, drug-resistant pathogens could lead to millions of deaths by 2050. Thankfully, companies like Pfizer are taking action.

Image courtesy of Pfizer.
  • Antimicrobial-resistant pathogens are one of the largest threats to global health today.
  • As we get older, our immune systems age, increasing our risk of life threatening infections. Without reliable antibiotics, life expectancy could decline for the first time in modern history.
  • If antibiotics become ineffective, common infections could result in hospitalization or even death. Life-saving interventions like cancer treatments and organ transplantation would become more difficult, more often resulting in death. Routine procedures would become hard to perform.
  • Without intervention, resistant pathogens could result in 10 million annual deaths by 2050.
  • By taking a multi-faceted approach—inclusive of adherence to good stewardship, surveillance and responsible manufacturing practices, as well as an emphasis on prevention and treatment—companies like Pfizer are fighting to help curb the spread.
Keep reading Show less

A UN-style partition plan for 'red' and 'blue' America

Progressive America would be half as big, but twice as populated as its conservative twin

Image: Dicken Schrader
Strange Maps
  • America's two political tribes have consolidated into 'red' and 'blue' nations, with seemingly irreconcilable differences
  • Perhaps the best way to stop the infighting is to go for a divorce – and give the two nations a country each
  • Based on the UN's partition plan for Israel/Palestine, this proposal provides territorial contiguity and sea access to both 'red' and 'blue' America
Keep reading Show less