You've hit the nail on the head.
IMHO: In the end, healthcare administration is about rationing. It's also about maximizing arrival of dollars at the coal face. It's also about motivating and rewarding those in what used to be called "vocations", because you will find that nobody can be a better guardian of precious funds, even allowing for the inevitable rogues in their ranks.
If you start and end with that, everything else becomes clearer. IMHO.
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us."
-- Shakespeare: Coriolanus, Act 1, scene 1
