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Jess B.'s avatar

We could start by pulling the non-profit hospital systems of our country out of the strange middle-space they currently occupy b/t private and public. We don’t have to cut any ties of private ownership, snip away any connections to stock markets or shareholders. Something like 65% of our hospitals are non-profit across the country, benefiting each year from tax exemptions that are somewhere in the ballpark of 28billion dollars. The administrative class that operates these systems has worked over the last 25 years to consolidate all of our once community-based hospitals under the umbrella of a handful of management companies that ALSO take the tax exemption of non-profits. Consolidation has led to all sorts of monopolistic and monopsonistic practices that drive down the quality and drive up the costs of parient care. These C- suite execs make millions and millions and millions for operating what is ostensibly a public system with no private ownership structure, as though it is a totally private system. So start there. It’s ripe for conversion.

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Sean Mann's avatar

Regarding the Kroger comment, I think it's worthwhile presenting and discussing ideas like that that are out of the mainstream. I just had a conversation with someone where they and their friends suggested creating a new "anti-gouging" law to enforce against companies like grocery stores, but then they got stuck in the nitty gritty details of "wait, but you'd have to make it really specific and well-defined so it wouldn't harm businesses acting in good faith, or who actually are affected by inflation, etc.". The conversation quickly got derailed by the difficulty of adding more regulation and I think that's somewhat indicative of moderate liberal thinking.

Regulation isn't the only solution! Or even the best solution in some cases. There are already anti-trust laws that if enforced would prevent the market consolidation we see. We could use them to undo the consolidation that was illegally allowed to happen. Companies use their monopoly power to raise prices. And there are already anti-collusion laws as well if separate companies coordinate to raise prices. But I think a lot of people get stuck on the mechanism of "if there's a problem, we need to pass a new law to stop it".

None of this is to argue with your points. I agree there is huge room for public ownership or cooperative ownership models across the US. There are so many good ideas that aren't being discussed as broadly as they need to be.

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