There is certainly waste in any large organisation. But there is also economy of scale and an efficiency that cannot be achieved by privatisation and fragmentation. Privatisation merely allows investors (the wealthy) to control operations for a profit. They cream off a percentage. How can anything be more effective if the wealthy investors are running it for profit?
No – I do not believe that competition can be effective. Running something for the people instead of the investors has to be the cheaper option. Ploughing profits back into the system has to make more sense than them going into the pockets of the wealthy.
Perhaps one has to ask why these people want this system so badly?
While one needs to be vigilant of waste and inefficiency a large organisation can be well managed through close scrutiny, stringent inspection and good accountability. If that is the case the efficiencies of scale far outweigh any loss through waste.
The States has a system where many people have no health care, many have insufficient healthcare and spend their lives worrying in case something major happens, while the top end have exclusive healthcare. It is a highly unjust system. And it costs twice as much as the UK healthcare where everyone is covered for everything and nobody is left out or has to worry.
I do not believe that a centralised system cannot operate on a large population. I do not believe that Europe would find it difficult at all.
Even if it was considered too big each State (all of which are considerably smaller than the UK in numbers) could operate its own system.
No – the problem is not that; it is propaganda. The American public have been brainwashed by the people who are bleeding them dry – the American Health Insurance Companies.
Socialism is subject to a huge negative publicity. Why? Because the wealthy want to milk the population for every cent they can get out of them. That is why rampant capitalism and privatisation are promoted and socialism is vehemently decried.
The answer to me is found in controlled capitalism as you get under democratic socialism. It is more compassionate and more moral in my opinion.