In my area, we had a massive overhaul of the hospital system thanks to COVID-19. Nurses used to do minimal work with patients, now they changed diapers of patients and helped them with everything. People with 11 AM appointments needed to come at 10.30 AM, not 6 AM... and parking and reception became more efficient too. Doctors were faster.
You'd think that the workload dropped, but it increased greatly. But this kind of change needed hospital leaders and politicians on board putting it as a high priority. Change is difficult, and most of the time people don't care enough to.
The book Peak Performance summarized that growth = rest + stress. Without the stress of a war, the system doesn't put innovation at a high enough priority, and you get an effect like the US faces, where universities and R&D departments are just a bottomless sink.