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andy99yesterday at 12:38 AM5 repliesview on HN

Government is probably the worst actor to run healthcare facilities. It’s not that different from PE, except with more administrative bloat. I’d be curious to compare US PE run facilities with government run facilities in Canada.

There is not an easy answer here, it basically a cost centre that whoever runs it, the welfare state is incentivized to spend as little as possible on it. PE is almost certainly a bad solution. If they can destroy a restaurant or other low impact business, I hate to think what they’d do to businesses that care for people. You’d get the healthcare equivalent of Burger King. But with government you get the equivalent of the DMV.


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zaptheimpaleryesterday at 1:30 AM

Canada's healthcare is generally cheaper per capita, pays healthcare workers less and has far lower administrative costs than the US. The US spends 5x the average of other wealthy countries on administrative costs [1]. This line that the government is automatically inefficient and terrible at anything at all is not true, is not set in stone and does not preclude private industry being even more greedy, stupid, amoral and inefficient than the government.

[1] https://www.pgpf.org/article/how-does-the-us-healthcare-syst...

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cogman10yesterday at 12:44 AM

> I’d be curious to compare US PE run facilities with government run facilities in Canada.

You don't have to do that, we have US government ran facilities. It's the VA.

And if you look at the costs associated with the VA, they are much much cheaper than almost any private care [1].

And if you know a few vets, you know they almost universally love the VA. It's one of the best perks of serving in the military.

[1] https://www.herc.research.va.gov/include/page.asp?ID=inpatie...

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wolvoleoyesterday at 12:56 AM

Huh the government is the ideal party to do that. Because it can set its goals to best serve its constituents instead of making money.

Don't forget there are so many countries with government healthcare and their care is a lot more accessible than the US's. I've lived in many countries and a nationalised healthcare system is one of the things I select for.

Even a poor country like Cuba has one of the highest numbers of doctors per capita. Unfortunately a bit hamstrung by the US's illegal and needless sanctions so they can't get proper equipment but I've been told healthcare is still pretty excellent there.

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hermanzegermanyesterday at 12:46 AM

Government is probably the worst actor to run healthcare facilities

Are those your gut feelings, or do you have an argument to back it up?

In reality, the outcomes from Government operated hospitals in Scandinavian Countries do not need to hide behind those of other countries, especially not with the US

https://jamanetwork.com/journals/jamainternalmedicine/fullar...

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messeyesterday at 12:51 AM

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