[1] https://www.youtube.com/watch?v=JAk448volww
Full episode: https://www.youtube.com/watch?v=oLU-Evdlt-A
He lived under communism, with its dozen+ levels of government bureaucracy, so you can imagine why he thought it was hilarious.
Once I had worked as a consultant for government departments, I suddenly "got" it, and now Yes Minister is one of my favourite TV shows of all time. The bit about hospitals is all too true.
For example, just recently, I had to fill out a stack of paperwork to provision a virtual server for hosting an archived, read-only web site for data that hasn't changed since 2017 and has three (3) users. Literally a stack. As in, a pile. About a hundred pages, or a short novel. That nobody will ever read, except if the time comes to blame me for a shortcoming that they themselves could not have avoided.
On one project we had dozens(!) of meetings involving 5-10 people to decide what to call an API endpoint that no human being will ever see again after the initial implementation. A nearly cried. I told them that they could literally mash the keyboard and use that, it's fine, just make a decision already. Nope. Got to run it past marketing. Branding (a separate team). Networks. BAU support. Domain hosting team. Architecture team. SecOps. Etc, etc...
The same org then had daily meetings involving 10+ people to decide how to purchase $500 worth of USB security fobs. At one point a project manager broke down in tears and pulled his credit card out out, and offered to just buy it himself if it would make the madness stop. There was a stunned silence, and then somebody raised the point that yes, fine, sure, but then how would warranty returns be handled if he becomes the "supplier"? With a straight face that same guy suggested another meeting to discuss the warranty return issue.