You’ve mistaken bureaucracy for benevolence and cartel consolidation for care. Let’s forget the disaster post by your friend Max. I think we have all had enough of that debacle. Let’s just get your points. 1/ You assert private insurance companies “cost more” and “provide less care.” True enough, but only partially. You omit that they operate within a system shaped, distorted, and reinforced by public policy: tax exclusion of employer-sponsored insurance, CMS-driven fee schedules, and anti-competitive Certificate of Need laws. The private market has never truly existed in American healthcare. What we have is a state-sanctioned oligopoly, not capitalism. 2/ You invoke UnitedHealthcare as an example of failure, rightly, but neglect to mention its most powerful allies: nonprofit health systems, especially those like @UCLAHealth . These institutions: •Receive 3–5x higher Medicare reimbursements than independent practices, •Pay no federal, state, or property taxes, Issue tax-exempt municipal bonds, •Collect tax-deductible donations, • Dolinate regional markets like robber barons with clerical collars. United is the villain and the nonprofit health systems are its bishops. 3/ Your call to abolish private insurance entirely rests on a romanticized faith in Medicare. But Medicare is the engine of price distortion: •It undervalues primary care while overpaying large systems through facility fees. •It entrenches administrative overhead via MACs and billing codes. It also created the very Relative Value Scale, which deforms clinical incentives. To suggest Medicare for All would resolve these issues is to propose the arsonist as fire chief. 4/ On workforce imbalance: you lament our surplus of specialists and shortage of PCPs. Fair critique. But again, who designed the pipeline? The federal government, comprised of Marxist bureaucrats, subsidizes academic centers to train specialists, funds residency slots through Medicare and allows hospitals to capture GME dollars without accountability. The solution isn’t central planning of physician labor. It’s exposing the actual cost, value, and demand for services via transparent pricing, something neither public nor private monopolies permit. 5/ You cite Amdahl’s Law to argue that physician salaries are a rounding error. True. But this only strengthens the counterargument: The problem is not the physicians, it’s the system. A system that: •Obscures price •Rewards consolidation •Penalizes independence •And spins regulatory complexity into profit Until that changes, your dream of government controlled, top-down equity , run by non profit health systems will produce the same result as all prior attempts: a bureaucratized empire of mediocrity.