Can you elaborate on why Tricare and the VA aren't government run healthcare? I define government run healthcare as healthcare that is run by the government.
The fact that it's poorly run is actually the point. Few Americans want to replace their experience at the doctor's office with the experience from the government run Post Office or DMV. The point is that many Americans have relatively little faith in the government to design a good system, and association with government run systems correlates strongly with lack of faith in the government to operate smoothly.
Note that my position, not that it really ought to matter, is as a proponent of universal basic income. Cut everybody in the country a check for $1500 a month, keep the ACA requirements that everyone buys health insurance and that insurance companies can't reject coverage on preexisting conditions, and let the market solve the problem. The problem is that healthcare is too expensive, not that it's bad. The government, for everything it sucks at, is really good at sending a check every month.
> Can you elaborate on why Tricare and the VA aren't government run healthcare
They are in the technical sense that the US govt "runs it". They are not socialized medicine as every Western country has implemented. They hardly have the scale, participation or political pull.
> I define government run healthcare as healthcare that is run by the government.
This is a bit naive, because the VA and DoD have a strong vested interests in short term solutions to keep soldiers going and back on the field. Also, many of the VA's problems stem from the fact that only a small % of Americans actually use the VA and care about its performance. So politically, it's hardly something that anyone focuses on, despite many promises to the contrary.
> experience from the government run Post Office
The post office is actually really efficient and is an example of a very well run government service. They're on par with any private company, easily, in both price and service. If anything, cuts to the post office have hurt it more than any operational problems or mismanagement.
> The point is that many Americans have relatively little faith in the government to design a good system
This is because many Americans actively vote against their best interest and elect politicians whose sole purpose is to hamstring the government from doing anything effectively. It's the classic conservative self fulfilling prophecy: cripple the government, point to the fact that the "government doesn't work", then privatize and reap the rewards. It's just a political game to make rich voters richer.
The fact that it's poorly run is actually the point. Few Americans want to replace their experience at the doctor's office with the experience from the government run Post Office or DMV. The point is that many Americans have relatively little faith in the government to design a good system, and association with government run systems correlates strongly with lack of faith in the government to operate smoothly.
Note that my position, not that it really ought to matter, is as a proponent of universal basic income. Cut everybody in the country a check for $1500 a month, keep the ACA requirements that everyone buys health insurance and that insurance companies can't reject coverage on preexisting conditions, and let the market solve the problem. The problem is that healthcare is too expensive, not that it's bad. The government, for everything it sucks at, is really good at sending a check every month.