Published
I'm a libertarian nurse. Ask me anything.
That's true ... Private companies have collected quite a bit for quite a while for public jobs. The drive to privatize services needed and paid for by everyone - like health, defense, transportation, sanitation - is as old as capitalism. As is deregulation. Behold the state of those services today. As a taxpayer, I can't say I'm all that impressed by the private sector's performance.But, to answer your question, the government fits in by keeping the predators - both public and private - in check. It's there to ensure that those private companies do the jobs they were hired to do with a minimum of damage to the rest of us.
Unchecked private enterprise inevitably leads to fraud, perjury, disease and pointless destruction. I refuse to pay them more for the privilege of cleaning up their messes. Much cheaper, in my view, to prevent the mess in the first place. That's why I want government in there.
What if some gov workers and elected people are the predators?
What if some gov workers and elected people are the predators?
Then they need to be dealt with, too, especially when the self-serving civil servants are profiting from sweetheart deals with vendors leaving taxpayers and consumers to pay for it all.
Health care is not a fairy tale with white knights battling evil villains so everyone lives happily ever after. When this much money is involved and with a captive customer base, abuses are going to happen on all sides. It's human nature.
What I take issue with is the fantasy of "free market" solutions for the problems of healthcare delivery. Profit-driven healthcare has been around for decades and failed abysmally. And government over-regulation is largely an attempt to address the most egregious private-sector scams (upcoding, double billing and billing for goods/services not provided, that kind of thing.)
It's no coincidence that one of the earliest for-profit hospital chains - Columbia/HCA - was found guilty of one of the largest Medicare fraud schemes in US history. That investigation started a scant 30 years after the corporation first went public, so the fraudulent behavior likely started quite a bit earlier.
And we're supposed to believe that deregulation and privatization will produce different results in the future from what it's already accomplished over the last 50 years? Really?
ixchel
4,547 Posts
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