> I would vote for a bunch of ex-Google PM's and Engineers to literally take over my nations IT (especially in Health) to simplify and scale it.

I have seen that happening (not with Googlers, not at a national level) within my province/state and now everyone has to deal with an inefficient global IT management service that is borderline useless and has the "know-it-all" syndrome.

YMMV.

(My department managed to be the rebel over the years and we have our own setup but it's slowly getting taken away from us.)