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"This problem is compounded by the administrative complexity of the system.
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At the same time a glance around public life in 2014 is enough to demonstrate that most of the old sources of direct authority have been emasculated, either by that tantalising abstract democracy, or by the diffusion of power into oligarchy, or merely by way of the administrative complexity by which nearly all contemporary life is waylaid.
By one estimate, the administrative complexity of the U.S. health care system adds nearly $300 billion per year in avoidable costs.
This avoids the administrative complexity of a social insurance benefit paid by a national scheme or a sick fund supplemented by an employer's scheme.
He attributed the low savings to the administrative complexity of tracking the results and said drug companies fought efforts to reimburse for bad outcomes.
They are overtreatment of patients, the failure to coordinate care, the administrative complexity of the health care system, burdensome rules and fraud.
Such schemes, which avoid the administrative complexity of paying a regular cash benefit, may be a step toward a full-fledged social insurance scheme.
"As a start-up you can still hire somebody to do the running around and don't have to deal with the administrative complexity yourself.
"This is all just part of everyone's scrambling to meet some of the administrative complexities of implementation and enrollment," Counihan said.
Australia Post has warned that, if the government adopted Amazon's suggestion, it would be "adversely impacted" by the extra administrative complexity caused by the imposition of additional revenue collection.
Factors discouraging or deterring enrolment included affordability, the perceived administrative complexity of joining the scheme, and difficulties in obtaining information about the benefit options.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com