basically you look at models across the world and you see that whenever a private option is introduced

or a parallel insurance option is introduced health and equity rises up immediately at its head

and inefficiency also increases. Australia is a good example. Australia had a conservative takeover

in the early aughts, I think. I'm not Australian. I don't really follow Australian politics.

There was a movement to introduce and

expand a at the time pretty nascent private healthcare insurance market, primarily for orthopedic

surgery. So they pumped all this money into making it like fun and easy to join the private

insurance pool to get these exclusive hospitals. And immediately costs went up, but the number of care quality

did not go up, and the number of surgeries did not go up either. They were being rationed by

a number of patients, so there's a quota, there are already quotas there, except now the quota was

costly. In the Netherlands, the Netherlands has an ACA-esque model, where there's private and public

models running together, and they have a 10% of people

can't access care because of lack of income. In South Africa, I have an example in the book that I

like quite a lot. There is a private insurance model that you can opt out of the, there's a public

model and there's a private model, and you can opt out of the public model and put your money into

the private one. A private one is smaller, much smaller,

and because it is small, it costs a lot more, it's charged a lot more by hospitals because it has

less negotiating power. But you get little perks and little trinkets and private suites and that kind of

thing. And these factors converge into the private model. We're spending 47% of South Africa's healthcare dollars while covering

only 16% of the population. But you get that very nice, freshly squeezed orange juice with your

hospital office. Right. And that population is surprised, disproportionately wealthy and disproportionately

white. It's a virtual reenactment of apartheid through medical financing. You never introduce

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