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@benroyce @soc_i_ety @mmalc @paul

Don't laugh.
In the UK, some years ago, when bean counting was starting to become a big thing in the NHS, someone picked up on the fact that the Sexual Health clinic in a town I worked in was dishing out free condoms (AIDS had been a big thing prior to then).
Cost saving measure immediately triggered, followed, approaching a year later, by a huge upswing in demand for maternity services.
Not dumb ideology in that case, just a lack of joined up thinking.