Per the study we are discussing -- as well as the results from every single other developed country I believe? -- more efficient when it comes to healthcare, yes.

If the government is so efficient, why don't we just have them run all our industries?

Because both studies and real-world results from every other developed country show gov is more efficient at healthcare, is your argument that means gov is more efficient in every field?

The government does not have the peverse incentive of putting private profit above all other concerns.

The perverse incentive of the politician / general / bureaucrat to favor their personal interest over the public interest is identical to the perverse incentive of the CEO to favor his personal interest over the same.

I would argue the government case is actually much worse because at least the CEO has the feedback mechanism of revenue because the company <> customer relationship is entirely voluntary on both sides. The public vote is supposed to restrain the government in the same way, but in practice it seems to be much less effective in restraining politicians than the customer is at restraining companies.

The government is just corrupt politicians and lobbyists. You're fighting to give them more money and power.

The government is more directly accountable to me. The only way I have to influence what insurance companies do is through the government.

You can switch insurance companies, no?

I can if I want to switch jobs too. Probably not a good idea given the current economic conditions. I'd be all for forcing a decoupling of these things, but I don't see that anywhere on the table, and it would probably run afoul of politics anyways.

No, you can’t.

In many cases, no.

Sounds like a Ron Swanson quote

If that wasn't the case, DOGE would have found any waste worth looking at.

It was not for a lack of motivation or a lack of cut-throat pursuit, consequences be damned.

it's that it's 1 Trillion less in incentivized middlemen. A la Graeber.