Nobody much likes bureaucrats to begin with.
President Reagan often used the term derisively when speaking of the Communist system of government, and then turned back the term, with special linguistic potency, upon his political opponents when it suited him to disparage those who believe in certain government solutions. Its negative connotation probably goes back to Franklin D. Roosevelt when centralized government had to step in after banks and corporations failed. In the Clinton era, the special smear on this term dates to 1993-94 when the health care plan was a favorite featured evil. Ms. Jamison pointed out that the administrative costs of insurance companies, in fact, were higher in some instances that those of government on national and state levels, especially when compared to Social Security administration and HCFA costs, for example. Instead, Medicare should be built back up to its former level of high-quality care which means paying providers a bit more, not a lot more but more, which would instantly broaden choice and quality of providers, while still maintaining low administrative costs as Medicare has already done for years.