social services are for citizens, the problem here is that private corporate services are not the same, and to survive they have to be profitable. That being said, there is a very large infrastructure to UHC as well, and it might even be bigger in cost than the government, when you include in the cost of executives and bonuses, plus all the required reporting and documentation which the corporations have to do to comply with public company disclosures. .
So although one might think that the government is inefficient, the govt may not cost as much in total as the MA plans properly costed. . one may be making assumptions to fit their own beliefs. . I do not know, however, I do know that insurance companies deal in probabilities about the future. The probabilities might be correct, but they might get on the wrong side of the outcome enough to change the probabilities and therefore their cost curve back to us. .
Capitalism and competition is great for driving excess out of the system, but capitalism and competition requires rules and enforcement. otherwise, the consumer / citizens will lose out
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