System fail/succeed by more than just administrator/leadership. Operational structure, members/workers, funding, resources, many other factors in a matrix.Yeah, Medicare. Social Security. Medicaid. These are successful programs when run with competency.
Otherwise you must believe that the system itself is dysfunctional, such that no matter who is in there things will still fail. That's a systemic failure, and if you believe there is a systemic failure then it doesn't matter who you put in there.
That is a pretty extreme belief to have. It's an ideological rejection of democratic governance. I mean, maybe that's what you want, who knows? Maybe you don't believe in democratic governance. If that's the case, then what type of governance do you think would be successful, and are there any examples you can point to that show that success?
I prefer a more representative than democracy form of government, since democracies tend to be unwieldy and subject to easy collapse, replaced by more authoritarian regimes.
My historical perspective makes the USA Constitutional form the most successful to date.