Keith Evans
1 min readJan 2, 2020

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Government provided services are high in price and low in quality across the board because there is no incentive otherwise.

I generally agree with this, but it is important to understand that paying for a service is not “providing” that service and doesn’t discourage competitive free market dynamics. Patent law and other legislative intrusions into markets can increase pricing dramatically, but those are separate from any payment mechanism and would cause the same price movement under a private payment system.

Hell, the ACA increased health insurance premiums 188%-600% in the first year alone and 40% of all funds were spent on bureaucracy before reaching a single healthcare practitioner.

Your numbers show that you get information from very biased sources, but that doesn’t even matter to the discussion of single-payer healthcare. The federal government excels in one thing, and that is paying for stuff. The reason for that is that it is the “monopoly issuer” of our money, so it can afford anything that is available and priced in US dollars.

As the single-payer for healthcare it can act as the price setter, but what it pays for services isn’t a drain on the overall economy as healthcare is now. In fact, it would become a net positive to the money supply as long as Congress doesn’t get stupid and attempt to pay for every dime with taxation or fees. The red ink of the federal government is the only net source of black ink for the private sector.

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Keith Evans
Keith Evans

Written by Keith Evans

Meandering to a different drummer.

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