Comment by consumer451

> The difference is private companies that accumulate too much waste and useless things can fail and be replaced.

The US healthcare system is evidence that this is an overly simplistic view.

In a not for profit healthcare insurance system, every dollar not spent on patient care is considered waste, and we work to decrease it.

In a for profit healthcare insurance system, every dollar not spent on patient care is considered shareholder value, and we work to increase it.