Could we set up a quasi government organization which could run government services efficiently without the huge amounts of waste?

"Government waste" is a false flag red herring designed to gin up support for the real goal - dismantling government. Sure, like any large complex operation there is waste and inefficiencies. But by and large government is far leaner and more efficient at doing what it does than private enterprise. Medicare 'overhead' is on the order of 1%-2%. For the typical for-profit insurance company it is closer to 12%. The number of federal government employees per person or per tax dollar is as low as it has ever been in post WWII America (about 2 million civilians and 1.3 million military). State and local governments across the US employ another 22 million, but the majority of those workers are in education. So, vigilance against waste is always proper - but the presumption that there is so much waste that incompetent governments can't be trusted with taxpayer money or that there there is a half trillion savings to be found by going after waste is demonstrably false. So this trope is just the standard government-hating false assertion to justify dismantling government, not about making anything more efficient.

We already have the best system for efficiency

It’s called the private sector

The government runs a healthcare system for active duty military and their beneficiaries with little waste, and does a good job of it. The VA is something else entirely.

Maybe

Andrew Jackson (D) was the only president to pay off the debt.

Bill Clinton (D) balanced the budget. The blueprint is not very old.

Q: During the Clinton administration was the federal budget balanced? Was the federal deficit erased?

A: Yes to both questions, whether you count Social Security or not.

https://www.factcheck.org/2008/02/the-budget-and-d...

It's all about what YOU choose to see and how you prioritize items. But if you want fiscal responsibility, the facts point away f/ the reps who give our tax money away, no way to pay for it and the deficit skyrockets.

Gwb led to the record $1.4T deficit.

https://www.usgovernmentspending.com/federal_defic...

Now trump is shattering how Obama reduced the deficit as indicated in my link above projecting a $1.1T defict for 2019. The facts are all there but you have to be willing to comprehend them.

Hillary had plans to reform the social justice system and apply the savings to the infrastructure. THAT'S fiscal responsibility. Not make friends especially w/ a bunch rich people by giving our money away. That's what trump did.

I wonder if liberals could be tricked into getting jobs and making a contribution to society by calling employment “free”.

That’s called the free market

Sure. Like eliminate all entitlements and other social programs and turn it into a 'gofundme" accounts.

Because providing healthcare for some costs about twice as much per person as providing healthcare for all. Making it voluntary would more than double the cost when you also consider that the healthy would opt out until they got sick, and then try to get in.

No that will cause more waste