You are going through all this to prove or disprove a) nurse are not contributing to the economy b) there are no private run hospitals or c) you need a beer?
Actually in your case i'm going through this to see if it's possible to train a spider monkey in basic logic
And it's a little disappointing you couldn't even remember what the point was. You're just flailing for the sake of it apperently.
The point was simple - if federal employees and expenditure is growing faster than private, eventually that creates a problem. The reason for that is that generally gov't services do not create the wealth that is necessary for economic growth. I used nurses as one example - gov't paid nurses provide a service that is valuable to us as people (i was very clear about that) but is NOT a creator of wealth the way a private economy enterprise is.
That's why you can't just have all the companies be gov't run if you want a robust economy.
The gov't does not use capitalism to raise it's cash - it uses taxation for the most part and similar instruments such as duties. These create a drag on the capital free market system by taking funds OUT of it without a direct exchange for goods and services. If the gov't grows faster than the free market that supports it, that adds more strain on that economy. That is bad.
Is that clearer for you now?