It shows how difficult it is to manage these enormous institutions.

它表明管理些构是多么困难。

It takes a long time to reform something as big as the NHS.

改革像国民医疗服务体系构需要很长时间。

The agency is also responsible for a sprawling, region-wide system of bus routes, ferries, and commuter rail.

该构还负责区域性巴士路线、渡和通勤铁路系统。

The United States Post Office is a government organization, like most countries, and it is a very large organization.

与多数国家一， 美国邮局是一个政府构，而且是一个非常构。

Undoubtedly an organisation as large as the American government has fat on its bones, and would benefit from an exercise regime.

毫无疑问， 像美国政府构， 其内部必然存在冗余，通过一套有效管理制进行瘦身将使其受益。

And by the mid 90s public housing had exploded from a small agency granting mortgage insurance to a massive program with 1.3 million individual housing units managed by approximately 3,400 housing authorities and a sizable budget.

到90年代中期，公共住房已经从一个提供抵押贷款保险小构发展成为一个项目，拥有130万个个人住房单元，由约3400个住房管理部门和相当预算管理。