Although this post goes out to both free and paid subscribers, if you are not already a paid subscriber, why not take the opportunity to upgrade to paid, right here and now. Thanks!
“Private health insurance companies paid by Medicaid denied millions of requests for care for low-income Americans with little oversight from federal and state authorities, according to a new report by U.S. investigators…” The NewYork Times, July 19, 2023
Generally, I am against what is broadly called “privatization”:
Privatization is the transfer of decision making authority, delivery, or financing from a public to a private entity.21 Such shifts may occur by directly contracting out services to the private sector or may result indirectly from other arrangements, including partnerships with private sector entities and introducing competitive forces into government services.22–24 Regardless of whether the private partner is nonprofit or for-profit, the consistent feature is that control of service delivery may shift to the private sector. The National Library of Medicine
There is an underlying concept that is not born out by evidence produced by economists and other researchers—that the private sector is somehow more efficient, both in “getting the job done” and minimizing the cost of doing so. There are often significant kinks (red tape), in government delivering services to its citizens, but it doesn’t compare to the cost savings measures that private companies will employ to make a larger profit. And this includes denying sometimes medically necessary health care to our most vulnerable citizens—those poor enough to qualify for Medicaid or those old and poor enough to qualify for a combined Medicare/Medicaid plan.
The takeaways from our rush toward privatization are more questions than answers:
— Is privatization in fact more efficient and less costly and does the profit-motive actually hurt the delivery of quality government services to the most people?
— Does privatization of essential government services erode the public trust and the very notion of our government working to serve its citizens and the “common good”?
____________________________________________________________________________
I’ll let you answer these questions and any others you feel like discussing. Have any of you on Medicaid, Medicare or private insurance had to fight with your insurance company over costs or coverage? I’d love to hear your thoughts in the Comment Section below:
If you are not already a subscriber, why not take this opportunity to join our community with a free or paid subscription? A new paid subscription or an upgrade from a free to paid subscription will allow me to expand this newsletter with additional, primary source information, like interviews and public information requests, and expanded podcast offerings to include real, live guests. Although I won’t be going on strike any time soon, the current TV writer’s strike demonstrates that writer’s deserve to be paid, and paid well for their work, just like any other profession. Thank you in advance for your financial support of my writing!
Crime and Punishment: Why the Poor Stay Poor In America is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.
Get full access to The Poverty Trap at povertytrap.substack.com/subscribe