If you put garbage in a computer nothing comes out but garbage. But this garbage, having passed through a very expensive machine, is somehow ennobled and none dare criticize it. ↗
Everybody says they want to have private providers and we're saying fine. Let the states negotiate on behalf of a population in your state to drive down your costs. Don't just give subsidies to insurance companies for expensive insurance. ↗
The British regulatory system was revised, so that bigger profits were encouraged, which removed the option of big spending on programming. Quality just fell off a cliff, and all the old hands either left or were fired for being too expensive. ↗