Lots out there recently about the myth of Medicare efficiency:
http://rossputin.com/blog/index.php/taking-apart-the-medicare-efficiency-myt

(1.) The calculation doesn't factor in tax collection costs.  Medicare
is funded through a forced deduction from your pay via the Federal
Insurance Contributions Act tax, which takes a flat 2.9% of your
income.

(2.) The calculation counts private insurance services such as disease
management "admin costs".

(3.) Most importantly, the calculation is faulty best seen by this analogy:

“Imagine, for a moment, that Fred and Jane each have a credit card
from a different bank. Fred charges $5,000 a month, and Jane charges
$1,000 a month. Suppose it costs each bank $5 to produce and send a
plastic credit card when the account is opened. That $5
“administrative cost” is a much lower percentage of Fred’s monthly
charges than it is of Jane’s, but that does not mean Fred’s bank is
more efficient. It is purely a mathematical artifact of Fred’s
charging pattern, and it would be silly to compare the efficiency of
bank operations on that basis. Yet that is how many analysts compare
Medicare with private ins

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