Continuing from previous item, reprinting this piece on the specific subject from 2021. Real profit works mechanically when the mechanism is set up to increase profit for the whole business or the whole government. The setup fails when the mechanism makes a single exception for the billionaires who STEAL profit and taxes from the business or government.
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Was pondering why the operational side of Romneycare (website, fact-checking, payment, etc) is so totally fucked up. It’s not government vs private, as Repooflicans would have you believe. Or rather, it is government vs private but the other way around.
The Feds have several agencies that constantly manage applications and payments and questions from everyone and do it beautifully. They don’t lose millions of applications, they don’t have to guess how many people paid.
IRS and SS have highly functional and helpful websites. Even Selective Service, which has been dormant for 30 years, has a splendid website where you can find clear answers quickly.
Why do they work while Romneycare fails?
Parkinson’s Law. Bureaucracies exist to expand. The driving force of a bureaucracy is to increase its budget and workforce. When IRS works properly, it takes in more money FOR ITSELF. When SS works properly, it ends up with a larger trust fund FOR ITSELF. Therefore IRS and SS work properly.
Translate Parkinson into the private sphere and it’s just another name for the profit motive, another name for life itself. When you are working for your own expansion, you work effectively.
This is missing in Romneycare. The profit is going to a few large insurance companies, who are NOT responsible for the ‘exchanges’. If the exchanges work well, it means more money FOR SOMEONE ELSE. The system has absolutely no reason to work.
Not accidental. Romneycare was designed by idiot Repooflicans who believe that government should never receive money. It should never run a surplus, never keep money for a rainy day. It should magically do very little and make no profit at all. It should have no motive for running efficiently or serving the people.
Romney introduced a system planned by Randians, a system that violates the basic LAWS of any organization. Obama then duplicated the system at the federal level.
Result: Terrific waste, ruination of the entire health care setup, and lots of unnecessary deaths.
If health insurance had remained in the hands of REAL insurers, who were motivated to keep people healthy, perhaps the insurers would have tried to slow down the current holocaust.
REAL INSURERS UNDERSTAND REAL RISKS.
They would have seen instantly that this is not a REAL epidemic, which means that ordinary provisions for dealing with viruses should continue, and ordinary life should continue. Shutting down all business would mean that insurers would lose premiums. Shutting down all medical care would save money for insurers in the short run, but will vastly increase their costs in the future. Insurers formerly understood the difference between NOW and LATER.
THE DIFFERENCE BETWEEN NOW AND LATER IS THE EXACT PRECISE FUCKING PURPOSE OF INSURANCE.
Instead, Romneycare linked all health insurance to the “bioterror” parts of Deepstate via electronic records, guaranteed bailouts for the insurers, and thus removed the motivation to keep people alive.
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