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Comment by xuhu | Hacker News Reader

What's the sense in making companies more efficient, harder to disrupt and putting them in a position to create a monopoly as they become larger ?

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That's not my point. My point is that overhead increases and efficiency decreases the larger your system is. And companies at the size of states are just as inefficient.

Ergo, the idea that the market handles their duties more efficiently is a lie. It has nothing to do with corporate vs state owned enterprise, but a matter of complexity.

Because some things are only possible at a certain scale, like an effective state run healthcare system.

Which state is an example of an effective state run healthcare system?

In comparison to the Us? Literally every other state in the world. And I do mean "literally".

The Nordics.

NHS before the conservatives gutted it?

True but also the sheer number of people now trying to use it. Other factors include the difficulty of getting an appointment with the first call GP (once known as the family doctor) and the utter madness of many A&E departments. They do a great job but can't cope. 12-hour waits are not unknown. I see no reason to expect a turnaround with the Labour Government.

It would seem building better systems is not enough. We must strive to maintain, continuously improve, and scale them to meet demand.

Sadly culture in the US is diluted into believing that profit motive is a silver bullet that fixes all problems. And many are raised in religions that teach one to deny critical thinking, embrace appeals to authority, and love confirmation bias.

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