> You are dealing with government. Its not a business like Instagram or a grocer like Costco. If IG crashes consistently or if Costco has long lines at chekout, you take your business elsewhere.
In a democracy, when the government fails, you can vote it out and get a new one... and you get as many votes as a person with 100x your spending power. In the free market, a business that effectively serves a specific market can thrive despite absolutely abysmal performance for the rest of the market. It's not unusual for a business to be better off if they can get rid of certain customers, because they're a net cost to the business. So they have every incentive to be as hostile as possible to those "customers".
> With Medicaid you dont have an option, and the govt program, unlike IG or Costco, will never go out of business due to poor business services
It's not like the poor and indigent have a lot of influence over IG & Costco either. ;-)
You'll notice that Medicaid and Medicare have different levels of service. There's a reason for that (not a very pleasant one). There are different levels of service between Medicaid to discount private health insurance (particularly pre-ACA private health insurance), and the comparison makes Medicaid look pretty good. Go compare this case to the cases against private health insurers, and then tell me that private health insurance works out better.
That's a fine point. If you can't vote for each individual position in the government, then really you don't have the same influence you have over a multinational conglomerate's insurance division.
In a democracy, when the government fails, you can vote it out and get a new one... and you get as many votes as a person with 100x your spending power. In the free market, a business that effectively serves a specific market can thrive despite absolutely abysmal performance for the rest of the market. It's not unusual for a business to be better off if they can get rid of certain customers, because they're a net cost to the business. So they have every incentive to be as hostile as possible to those "customers".
> With Medicaid you dont have an option, and the govt program, unlike IG or Costco, will never go out of business due to poor business services
It's not like the poor and indigent have a lot of influence over IG & Costco either. ;-)
You'll notice that Medicaid and Medicare have different levels of service. There's a reason for that (not a very pleasant one). There are different levels of service between Medicaid to discount private health insurance (particularly pre-ACA private health insurance), and the comparison makes Medicaid look pretty good. Go compare this case to the cases against private health insurers, and then tell me that private health insurance works out better.