Americans believe that the ...

Americans believe that the private sector is always more efficient and cheaper than big government, and particularly when you go among Republicans, even after five beers, they still believe it. But I always say, "If it's really true, why would they need that 12 percent extra on a traditional government program? Explain to me why something that costs more saves me money as a taxpayer.".
 Uwe Reinhardt

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The ACA is an ugly patch on an ugly system - and I don't think it's worth mentioning in the context of price or quality transparency.
 Uwe Reinhardt