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I'd say the same thing happens with the entire structure of disability payments. Instead of simply accepting a letter from your doctor to prove your disability, they've built this insane system of assessors and regular assessments, employing over half a million people (in the UK), to harrass each disabled person every couple of years to decide whether they should still get the means of support necessary to their survival. Reject a large proportion of the claims, so the disabled person has to go through appeals, and tribunals, which create even more jobs.
Long story short: disabled people do things like community care, inventing things, instead of wasting their time for profit.