Such complexity is too much for a single person - a group of technocrats is a better way to run such a huge and complicated machine.
Someone ends up with the deciding vote.
What are the odds that the technocrats who can competently run healthcare are the same technocrats who can completently run transportation?
What are the odds that either group has relevant information at the right level?
"information" overload on technocrats is why the US has one set of design characteristics for energy efficient windows even though the climate is such that it should have at least three. (Energy efficient window design for Florida is very different from EEWD for Minnesota, let alone Alaska. I suspect that AZ and FL are should be different because of humidity even though they have comparable temperatures.)
How many technocrats do you know who you'd entrust with your life decisions? What are the odds that they'd be the ones in that position as opposed by the resume-packing tards who infest student govts everywhere?
Eisenhower's "military industrial complex" speech was actually a warning about technocracy. (The MIC stuff gets more play because it fits the narrative and has cute phrasing.)