" . . . why does Obamacare run through the private sector? Raw political necessity: this was the only way that it could get past the insurance industry’s power. OK, that was how it had to be. But you should really be outraged at the efforts of some states to ensure that the Medicaid expansion is done not via direct government insurance but run through the insurance industry. What you need to understand is that this is a double giveaway, both to the insurers and to the health care industry, because private insurers don’t have the government’s bargaining power. It is, bluntly, purely a matter of corporate welfare for the medical-industrial complex. Oh, I guess you might believe that the relevant politicians sincerely believe that the magic of the market will somehow lower costs, despite overwhelming evidence to the contrary — and that rewarding their friends has nothing to do with it. Hey, I have this bridge to sell you.
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