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.