I forgot to mention that the current squaller of Walter Reed Medical Center in DC is a perfect example of the loss of infrastructure in miniature.
Large intuitional centers like hospitals used to have a whole division they called Physical Plant or Maintenance. Under this division were a full range of skilled labor from machinists to carpenters, plumbers, electricians. These were the people that kept the buildings running. After years of budget cuts of course those people were the first to be outsourced to local contractors. The problem was it was nobody's job to go around and kept the buildings running. They only responded to complaints or didn't as the case maybe. And without a physical plant department, who do you call when your hospital bed isn't working? A nurse, a doctor, the medical director?
CG