I have an anecdote about government innovation.
Years ago I worked for a company that produced small high performance electric motors. When the engineers would come up with an improvement on a particular model, they would call the customers, describe the improvement, and usually get an OK on the spot. But if the same motor was also sold to the government it took reams of paperwork and months to wait for an approval, if it ever came at all. Consequently the motors we sold to the government ended up being several generations behind those we sold to private industry.
I see the same principles being applied to health care, energy, automobiles, and anything else the government is involved with. Government is the enemy of creativity and innovation.