You guys keep ranting about turning all of medicine over to the government. What has the government ever run efficiently? the post office? DOD? Social security? medicare? welfare? border security? the budget?
Why would you want to turn more of our economy over to them?
The Federal government operates very efficiently, that you perceive otherwise is subjective, partisan and wrong.
Indeed, when Federal departments and agencies experience difficulties, it's most often the consequence of budget cuts and staff reductions at the behest of republicans.
Prior to its privatization, for example, the Post Office operated extremely efficiently; which goes to the fact that there are certain services which are more appropriate for the government to address, such as delivering mail to every American regardless where he lives, public assistance and social services programs, National defense, education, and various regulatory responsibilities which have contributed to the success of private businesses and the health and safety of private citizens, including administering healthcare programs.
This ridiculous conservative paradigm of perceiving everything as simply being black or white, either/or, is one of many reasons why rightwing dogma fails, as the best approach is a pragmatic approach, where the private sector addresses that which it does well, and the public sector likewise addresses what it does well – a blend of public and private to the advantage of all the American people.
And one of the most efficient and successful Federal programs has been Medicare, where there already exists a proven process that can be expanded to all Americans, providing all Americans access to affordable healthcare:
“Despite competition and choice in the private insurance system, Medicare spending has grown more slowly than private insurance premiums for comparable coverage for more than 30 years.
From 1970 to 2009, Medicare spending per beneficiary grew by an average of 1 percentage point less each year than comparable private insurance premiums. Between 2000 and 2009, Medicare’s cost advantage was even larger—its spending per beneficiary grew at an average annual rate of 5.1 percent while per-capita premiums for private health insurance plans grew at 7.2 percent, according to the Center on Budget and Policy Priorities. […]”
Medicare is still more cost-efficient than private insurance