Final answer:
Internal personnel often lack the specialized expertise because they require a broad understanding of issues, not deep technical knowledge. They rely on government bureaucracy and outside experts. The lack of internal expertise can lead to bureaucracy inefficiency and increased risk of staff burnout and project fatigue.
Step-by-step explanation:
Typically, internal personnel including elected officials and high-ranking appointed officials may not possess the specialized expertise or the necessary tools to effectively devise and execute public policy on their own. This lack of expertise is because these positions often require a broad understanding of various issues, rather than deep technical knowledge in a specific domain. As a result, these officials depend on the extensive government bureaucracy and outside experts who have thorough insights into the subject matter.
The insider-outsider model explains that those already working within an organization (the insiders) are acquainted with the existing procedures, while new or potential hires (the outsiders) tend not to have this inherent knowledge. This framework can lead to a situation where 'insiders' might lack certain specialized knowledge that 'outsiders' might possess. Moreover, the bureaucratic system is designed in a way that often discourages internal criticism, which exacerbates the problem when it comes to rectifying mismanagement or addressing criminal behavior within the bureaucracy.
The larger issue that emerges due to the lack of expertise amongst internal personnel is a range of potential problems, including perpetuating stereotypes, a lack of encouragement and role models, uninviting workplace culture, unequal pay, and limited prospects for career advancement. This can significantly affect the efficacy of public service delivery and increase the risk of project fatigue, burnout, and 'research fatigue' among staff. Indeed, the lack of adequate knowledge application in complex and urgent situations is not just a problem within the medical field but is an issue relevant in various public services.