Mark Steyn writes Obamacare’s Hierarchy of Privilege in The National Review.
All third-party systems are crappy and inefficient. But socialized health care has at least the great clarifying simplicity of equality of crappiness: liberté, égalité,merde. It requires a perverse genius to construct a “health” “care” “reform” that destroys everything from religious liberty to full-time employment, while requiring multitudes of new tax collectors and other bureaucrats and ever fewer doctors and nurses. The parallel public/private systems of Continental Europe cost about 10 percent of GDP. The Obamacare monstrosity blends all the worst aspects of a private system (bureaucracy, restricted access, co-pays) with all the worst aspects of a government system (bureaucracy, restricted access, IRS agents) and sucks up twice as much GDP, ever less of which is spent on “health care” and ever more on the intervening layers of third, fourth, fifth, and sixth parties.
Public Private partnerships often end up being the worst of both worlds.