Well, look at cost per capita of our public single payer system vs. costs of the U.S. free market health system. The U.S. is almost double the cost per capita than Canada.
Governments can achieve economies of scale on alot of this stuff and avoid moral hazard which will significantly reduce costs. The reason why health care is so expensive isn't because of a public/private issue. It's because of broad demographic trends and innovation. Every country is dealing with this.
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