Replying to Avatar Cory Doctorow

Because companies are so big, they abuse us with impunity - and they are able to suborn the state to help them do it:

https://www.cambridge.org/core/journals/perspectives-on-politics/article/testing-theories-of-american-politics-elites-interest-groups-and-average-citizens/62327F513959D0A304D4893B382B992B

This is the dimension that's so often missing from the discussion of why Americans pay more for healthcare to get worse outcomes from health-care workers who labor under worse conditions than their cousins abroad.

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Yes, the government can abet this, as when it lets privatizers into the Medicare system to loot it and maim its patients:

https://prospect.org/health/2023-08-01-patient-zero-tom-scully/

But the answer to this isn't *more* privatization. Remember #SarahPalin's scare-stories about how government health care would have "#DeathPanels" where unaccountable officials decided whether your life was worth saving?

https://pubmed.ncbi.nlm.nih.gov/26195604/

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The reason "death panels" resounded so thoroughly - and stuck around through the years - is that we all understand, at some deep level, that health care will *always* be rationed. When you show up at the Emergency Room, they have to triage you. Even if you're in unbearable agony, you might have to wait, and wait, and wait, because other people (even people who arrive after you do) have it worse.

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