QQminusS -
I assume "some aviation program" refers to my comment #1.
First, full disclosure: I am constitutionally sceptical of government's ability to do much of anything efficiently. I am also a designated Aviation Medical Examiner (AME).
The FAA's Aviation Medical Certification Division is responsible for certifying the medical eligibility of all civilian pilots, commercial and private, as a matter of public safety. In a sense, it is a public/private agency in that it uses private physician 'designees' who have voluntarily and at their own expense undergone specific training in aviation medicine, as its agents (AME's) who do the actual work in the trenches. Unlike many (most?) agencies who's employees have a mindset geared toward personal job satisfaction rather than the needs of their 'customers,' the AMCD's staff mindset is geared toward getting and keeping pilots certified (and flying) as quickly and efficiently as possible, while assuring they are medically capable of exercising the responsibilities of piloting aircraft. That mindset shows in everything they do. And they do it in an environment of tight budgets. No government agency is perfect, but this one comes closer than any I've encountered.
On another note, while our military does lots of things very well, efficiency has a different meaning in matters of war than the traditional economic meaning of the term, so including the military in a discussion of government 'efficiency' doesn't make a lot of sense. Is there waste & abuse in the military? Absolutely. But military efficiency has to be measured by some formula incorporating lives harmed & lost, the value of which is inestimable, meaning that any assessment of military efficiency is necessarily qualitative.