The document discusses how government can adopt business-like practices to improve effectiveness and efficiency. It argues that while government goals are broader than profit, it should still assess programs and costs like a business. The document outlines some common problems with government such as failing to address root causes or heed auditor reports. It suggests government can be more business-like by conducting value-for-money audits, activity-based costing, and leveraging capital through public-private partnerships while respecting its role is not to run people's lives or pick winners and losers. The path forward includes more analysis and cost controls to ensure sustainable programs and balanced budgets.