How long would a government run tech company survive in the valley? Now tell me again why you want them centrally planning your healthcare?
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It's utterly impossible to fix the problems of government competence because Americans don't want their government to be competent. They want it to be supportive, and diverse, and all sorts of things, but competence is not one of them.
If American government were competent, it would hire precisely the people whose unions donate so much to American politicians.
Why do I want centrally planning in my healthcare, because it can accomplish something companies can't: full coverage for all citizens rich and poor alike. No market solution can or will ever provide that, government CAN.