Precisely, and I think that goes to the point made by StraightnLevel, which is that the FAA leadership (especially the medical department) has very little incentive to take risks, and some perverse incentives to avoid innovation. The FAA budged essentially because the responsibility for the risk of BasicMed was shifted from them to Congress. An action such as increasing the ability of AMEs to issue a broader range of issuances will require either another outside intervention or someone in FAA leadership who is willing to take that risk on behalf of the pilot community. To her credit, Dr. Northrup is probably the most likely candidate of any of the Federal Air Surgeons in recent memory to advocate for such a move, but she still answers to the Administrator.
My own senior leadership is very much interested in asking "why". To apply that to the FAA, we (or an auditor) should be asking for hard data. When are physicals submitted, and when are they processed? Are they getting stuck at certain steps? To what extent does the diagnosis change the processing time? Should certain medical conditions still require a waiver? Can more be CACI conditions?
It may turn out that there are inefficiencies which can be fixed via process change or via technology (i.e. improved electronic notifications and document submission). It may also turn out that the process is as efficient as it can reasonably be and that the FAA simply needs more people to process the workload. Recently the military has been in the bad habit of having one person do the job of two or three people based on "efficiency" (and recruiting shortfalls, truthfully), which instead destroys efficiency (and morale, retention, training time...).
Spot on. The 9-5, five-day, in-person work-week is suboptimal and we have the data to prove it. Wildly expensive facilities are a waste of time when much of the work can be done virtually, at no cost to the government in terms of facilities and virtually no cost (perhaps a laptop and VPN access) regarding equipment. Productivity (and necessity for that position) can be measured in meeting goals/metrics and who gives a damn if you're doing that work at 9am or 9pm as long as it gets done. Workers don't waste time or money on commuting. Sell the buildings or lease out the majority of the space. Smaller facilities are easier to secure, cost less to maintain, and in-person requirements can be met with group meeting/working spaces. There's an odd sense that if you're not driving in and grinding out work at a desk, you're somehow not working "properly". That view is style over substance, and I hope we can someday get away from that old-fashioned thinking for administrative positions which genuinely don't require in-person presence.