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Generally, the government takes on an industry segment by paying the people who were doing it privately to administer the same business, but as government contractors. Payment would come from the government to doctors etc. The insurance companies would switch from being independent businesses to being government administrators. Any incentive to push for efficiencies, driven by enhancing the insurance companies bottom line would be gone. Instead payment would flow from the taxpayer to the government to the administrator/(ex-insurance people to the providers. A blank check - think military spending and $400 toilet seats.
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