If you want to see what happens following too many cuts - until it's like Road Runner running in mid-air? The UK National Health Service went off the cliff about ten years ago but has been kept aloft by the staff. Now it's too late.
Unfortunately, the way that the UK / USA system has operated for the last 40 years is the Accenture/PWC/et al playbook. It is what the shareholders expect and so it will contine until there is an irretriveable financial problem. I mean that country wide - as well as for the company. It is impossible to change this trajectory now as there are too many vested interests and too many people making money. One day, they won't be making money any more but humans have a knack of ignoring the future.