Earlier quoted context omitted.
Imagine you know you are sick. Doge is the one recommending bloodletting and brushing with burning straw. The issue is rarely that neither side can name the problem but what is claimed to be the reason and therefore the solution.
I will raise you a more direct analogy, let's imagine you have a deep wound in your arm and are actively bleeding out. There are 5 doctors who you have paid to treat you; they came, performed some tests, confirmed you are wounded, but don't know how to patch you up. DOGE comes along and says well, what if we amputate the arm and cauterize it? This will stop the bleeding, but you will lose an arm. That sucks, there is…
If we're going with the medical analogy, we've been rubbing all kinds of creams and taking all kinds of pills for a funky looking mold on our arm. There's some malignant growth, but operating may damage one's ability to use their hand, so treatments are used to keep the growth in check. Treatments aren't cheap, sometimes they don't work or cause side effects and need changing, and often you end up driving an hour for a five minute check-up.
There are risky solutions, such as operating and hoping you can still use your hand afterwards, that will cost time and effort and hopefully reduce the illness in your body afterwards, but the risks have as of yet been deemed higher than the reward.
DOGE is cutting off the arm, slicing it up in parts, and checking for every individual clump of cells if they're necessary or not, before trying to put them back. You're losing a lot of blood and you may need decades of surgery to get your functioning hand back, but all of the bad parts have been removed at least.