Too damn complicated
Taxes, health insurance, zoning... so many things the government touches are way more complicated than they need to be. If we can get the lawyers, lobbyists, and special interests out of the way, things might be much simpler. At every turn it seems you have to hire high-priced talent to navigate your way through all the complication.
Oregon's mistake seems to be thinking it could be its own integrator. Maybe the very messy model of our own government -- checks and balances -- would have been more effective? With an integrator holding vendors accountable, all Oregon would have to do is write the check for the results requested. Integrator doesn't deliver? Integrator doesn't get paid. Buyer beware of your own ability to screw things up.