i see what you mean, yes you are right, it'd be inefficient. The key then, is to make people value the same things..... which goes back to the brand/image building.
the holy grail of all dictators....
That being said, is my model really any less efficient with the current one? You might have noticed what I proposed shared some traits with the failed Soviet system, what makes me think my proposal would work?
Recent rise of "unpaid internship", the high degree of specialization in our society, and advancement in tech.
Find desperate and willing candidates. Give them hope and food and an Ideal. Make them highly specialized in a few tasks ie, a GI doc would know next to nothing about joints and such.
Using med as an example: After diagnosis these "specialist" would upload their individual findings to a machine. Using something similar to google search and keywords the machine would give a list of possible final diagnosis. How do we know which is right now that we dont have a "real" physician? Stats. Yup. Sounds crude and heartless, but one might be surprised how accurate it could be....
Now our recruits are ready to provide more than they cost by continuing cranking out services, we had just built an assembly line where parts can be replaced with almost limitless supplies, think of all the unemployed people, 200 million in China alone.
back to the original topic or are you going to continue ripping holes in my theory :)