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TehCorwiz 10 hours ago

The whole "anonymous bureaucrat" shtick doesn't land anymore. The purpose of having long-term non-political staff is so that operations don't change on a whim when some rogue director comes in and wants a second Ferrari. The reason government spends more AND is paradoxically more efficient is because most of the work of those bureaucrats is tracking, reporting, and reconciliation. That's the whole deal. Congress passes laws and in those laws is usually an obscene and near impossible amount of auditing.

I trust government staff far more than the decision of unregulated, greedy corporations who literally exist to extract the most money from whatever process they're trying to sell you.

nickpp 5 hours ago | parent | next [-]

> greedy corporations who literally exist to extract the most money

Every single product and service I am using in my life is made by a corporation. The clothes I wear, the food I eat, the car I drive, the PC I am making my living on.

Government?! Decaying infrastructure, lines at the DMV, crappy schools and killer hospitals.

You may trust the government if you want, but I will never. However, you are the only one pushing your choice onto me and reducing my options. I am fine with you using private or governmental services but you won't allow me this freedom of choice.

bko 9 hours ago | parent | prev [-]

Can you name someone that is a long-term non-political person that is making these decisions?

I have trouble believing empowering people who have no risk of losing their job and no one knows they exist is the best model for making decisions for other people.

TehCorwiz 9 hours ago | parent | next [-]

The entirety of Medicaid and Medicare.

EDIT: Also the whole VA system.

bko 42 minutes ago | parent [-]

Who runs Medicaid, Medicare or VA? Name the person. Who is held responsible? These are just words at this point and its an ideological battle. You have no idea.

nobody9999 8 hours ago | parent | prev [-]

>I have trouble believing empowering people who have no risk of losing their job and no one knows they exist is the best model for making decisions for other people.

You mean like the (non-medical doctors) third-parties contracted by my private insurance provider who routinely deny important care[0] and even reject pre-approvals for antibiotics for MRSA infections even after multiple interactions with several medical doctors confirming both the diagnosis (with accompanying pathology) and the appropriate course of treatment.

Yeah, you keep that rolled up newspaper handy so you can "Gub'mint bad! Bad Gub'mint!"

I hope you never have to deal with a life-threatening situation where your insurer flatly refuses to cover treatment until after you're dead or have body parts amputated.

[0] https://news.ycombinator.com/item?id=46291740