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Friday, December 28, 2007
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The Privatization Myth

I've been seeing a lot of commentary around lately, on both sides of the issue, talking about the need to, or the danger in, privatizing something.  It doesn't matter what that something is, because the arguments always goes the same way.  The argument always seems to center around something which the government currently does, that some portion of the population doesn't want the government to do anymore.  But what does it actually mean to privatize?

It should come as no surprise that even when privatizing something, the government doesn't actually privatize anything.  Instead, it retains ultimate control over something, but allows a private entity, or non-profit organization, to administer whatever it is we're talking about under the "proper supervision" of the government that used to do it all.  It's the ultimate compromise where nobody gets what they want, and things usually end up worse than they started.  The liberal half are generally upset because government lost some of its control, and the conservative half are upset because government still has some control.  In other words, if nobody is happy, then politicians think that they did something right.

The ultimate problem with this pseudo-privatization is that it removes the one element from the equation that any private system needs in order to succeed.  The risk of failure.  Seems ironic doesn't it?  In order to succeed, you have to be able to fail.  And yet, it's so zen in its simplicity.  Risk of failure is also the motivation to succeed.  It is the impetus for change and improvement.  If necessity is the mother of invention, then risk of failure is it's father, waiting with a belt to kick your ass when you get home with an F.

As we all should know by now, when something that government has ultimate control of fails, it never shuts it down.  It always doubles down on that losing bet, and throws more money at it, or rescues it from the hole it dug itself in some other way.  Then with that new found money, that "private" entity does exactly what it did before, because it learned that if you do the same thing, you'll get more money.  And yet somehow, people are always surprised when the dog starts begging at the table, after you gave it some scraps.

Then the next time someone suggests we "privatize" something, the liberals go through the list of the other things we pseudo-privatized and shows what a bad job they've done, and how we've had to bail them out.  And to a certain extent, they're absolutely right.  The myth is that this can be used as proof that private enterprise is less efficient than government at doing something.  But if you never fully cut the cord, and let private enterprise take care of something soup to nuts, then it's not actually privatization.  Call it something else... boondogglization, nonprofitization... whatever.... but it sure as hell isn't privatization.

The lesson shouldn't be not to privatize.  The lesson needs to be to do real privatization and keep government out of what it used to control completely.

# Posted at 1:22 PM by Nick  |  Comment Feed Link 7 Comments  |  No Trackbacks

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Friday, December 28, 2007 3:50:08 PM (Central Standard Time, UTC-06:00)
1 step at a time Nick.
Friday, December 28, 2007 4:15:29 PM (Central Standard Time, UTC-06:00)
Nick, unbelievable as it may seem, there is one area where a government run program is by far better than any non-government counter part. That is the veterans hospitals in this country which started to turn around in the late 1990s under new management. Yes before that it was undoubtedly the worst by far.

The VA health-care reform has been miraculous.

Link (2 yrs old but still valild)

New England Journal of Medicine published a study that compared veterans health facilities on 11 measures of quality with fee-for-service Medicare. On all 11 measures, the quality of care in veterans facilities proved to be "significantly better." ...

The Annals of Internal Medicine recently published a study that compared veterans health facilities with commercial managed-care systems in their treatment of diabetes patients. In seven out of seven measures of quality, the VA provided better care. ...

[T]he National Committee for Quality Assurance today ranks health-care plans on 17 different performance measures. These include how well the plans manage high blood pressure or how precisely they adhere to standard protocols of evidence-based medicine such as prescribing beta blockers for patients recovering from a heart attack. Winning NCQA's seal of approval is the gold standard in the health-care industry. And who do you suppose this year's winner is: Johns Hopkins? Mayo Clinic? Massachusetts General? Nope. In every single category, the VHA system outperforms the highest rated non-VHA hospitals. ...

In the latest independent survey, 81 percent of VHA hospital patients express satisfaction with the care they receive, compared to 77 percent of Medicare and Medicaid patients.

Read the link for more info.
Saturday, December 29, 2007 9:00:16 AM (Central Standard Time, UTC-06:00)
I always knew you were a genius, Nick! So simple, even I can understand it, and no doubt a few of the more intelligent libs. :)
Monday, December 31, 2007 8:34:03 AM (Central Standard Time, UTC-06:00)
Privatization has become the political fad because private corporations can give campaign contributions and government entities can't. We are paying ten times the dollars for Blackwater, Bechtel and Halliburton to perform the same function that our troops could be performing in Iraq. Why? Because the US Army cannot give campaign contributions.

Get the political money out of the system, and if privatization continues because it makes more sense than establishing another government bureaucracy, then fine. But if it occurs because political cash is flowing, then there is a strong chance that it wasn't needed in the first place.
Wednesday, January 02, 2008 12:14:08 AM (Central Standard Time, UTC-06:00)
And, what of accountability? Or do you suggest that a company, let's say, a social service agency, is allowed so many deaths before being fired and on to the next company?

And by the by, it is federal law that any tax money being spent, even for a private company to provide services, has to be monitored by the government. It is supposed to (key word: supposed) to cut down on fraud.
capper
Thursday, January 03, 2008 8:23:00 AM (Central Standard Time, UTC-06:00)
Yes Nick, this post is right on.

Capper,

"Or do you suggest that a company, let's say, a social service agency, is allowed so many deaths before being fired and on to the next company?"

How many is the government allowed before we, what?.. vote them out? Are you suggesting that government would respond to "too many" deaths faster than a truly private entity?
Thursday, January 03, 2008 8:45:13 AM (Central Standard Time, UTC-06:00)
Not surprisingly capper... you missed the point entirely. You're still talking about accountability from the government... as if the government were administering something. What I'm talking about is getting government COMPLETELY OUT OF IT. In other words, not collecting taxes and giving it to a private entity at all. If there is a need for service X, then a company will come in to do it.

As for accountability, there are actually far more remedies that can be made against a private company than a government entity. It's nearly impossible to sue the government for damages when a wrong is committed, but significantly easier to do so against a private entity. The government covers up, defuses blame, politicians still get re-elected, and nothing changes.

I guess I'm surprised you like Haliburton so much.
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