There are plenty of inefficiencies in businesses too. I don't understand how anyone who has ever worked for a small or medium-sized company can complain about government waste. Almost every job I've had has been just riddled with ludicrous inefficiencies.
> plus they operate like monopolies.
Every philanthropist has a monopoly on the use of their funds.
At least with tax-supported government programs, voters have representation on how those funds are used.