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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: Road Walker who wrote (24401)	7/31/2012 1:48:58 PM
From: i-node	2 Recommendations Read Replies (1) \| Respond to of 42652

>> By the same argument GE shouldn't function as well your dry cleaners. I doubt it does. My customers, every one of them, has an option to buy their tech support from me or from McKesson Pharmaceutical. They pay me more. McKesson has never once taken a support customer from me. I take customers from them all the time. The fact is they can't handle it -- a $100B company. Sure, Mck & GE can do things a small operation like us can't, just because of the sheer scope of the operation and the money behind them. These organizations like GE are, of course, much smaller than government. I suspect you'd find that operational efficiency of GE is somewhere between that of government and that of a small business. But the truth is government has reached a sort of tipping point, where they're not very good at much of anything. It is equivalent to what computer scientists sometimes refer to as "thrashing" -- where all the time is spent in operational overhead to the extent not much gets done (this term in computer science is more specific, referring to a situation where the operating system spends all its time swapping page faults such that there is no time left for working at the task at hand-but it is the same concept). You don't have to add more layers to service more people, just more bodies in the existing layers. In fact you should get an economy of scale. You should but government hasn't; they are far less efficient -- at least in the health care finance arena -- than are private insurers. Or if you prefer we could set up single payer in each state and then it would work like the more efficient single payer systems that are smaller??? That would be better than turning it over to the federal bureaucracy; still better is to have states contract it out to a private insurance company. Then, you may begin to approach something workable. However, it would still be better to have multiple private companies competing for the business, since competition breeds performance.