Dear Shanta (and Jishnu), thank you for injecting this welcome realism into the discussion on deliverology. For sure there is the question of tackling bureaucratic inertia, but there's a reason why it is so much more deadly in the delivery of education and health than in crafting monetary or fiscal policy, arising as it does from a lopsided ecosystem of politically powerful unions, financially powerful insurance companies, hapless clients, controlled information flows, and, yes, flawed bureaucratic incentives. And that's just in the US. Add to it the deeply hierarchical societies and near absence of voice and accountability in many of our client countries and the problem becomes all the more complicated.
And on evidence – it seems that variants of deliverology have been tried on parts of the US. What has been the verdict on those?