As a student of psychology (both human and other) and economics over the past 
few decades; I would like to make a few points about market economics that seem 
to get lost in all the shouting.
Free and fair markets require two (at least) things to make a level playing 
field:
Transactional Transparency in which both parties to a transaction have all the 
facts needed to understand what they are buying or selling.
And no Externalities where benefits accrue to at least one party in a 
transaction, but any bad effects are suffered by third parties.
Here are a few recent examples where there was lack of Transactional 
Transparency and/or there were Externalities:
A mining company leases public land and pays royalties way below fair market, 
then dumps the tailings where the rainwater leaches poisons into the local 
streams and contaminates drinking water for everybody else downstream.
A company collects and aggregates information on millions of people and then 
sells it to other companies without bothering to check if the purchasers are 
legitimate. Why should they? They do not suffer any consequences if the 
purchasers use the information to commit identity fraud on thousands of people.
Employees at large financial institutions took pools of very high risk mortgage 
debt that was often generated by fraudulent mortgage originators, then bundled 
them into securities that were given AAA ratings by bribing an "independent" 
third party, and finally sold them to other financial institutions and 
individuals. The employees, and their supervisors all the way up to the CEO, 
"earned" multimillion dollar bonuses, but suffered no personal losses when the 
debt went south. All the parties at each step in the transaction until the 
final public sale knew or had access to information to know that something was 
rotten in Denmark, but did not want to screw up the bonus pool.
Medical insurance companies sell policies to small companies and individuals 
and collect premiums until the person has a serious illness. Then the company 
tries to find any way to deny benefits because even if they know that they will 
eventually lose. After all there is a good chance the person will either die 
before they have to pay, or the policy will come up for renewal so the person 
can be dropped and therefore they limit their losses. Even if they eventually 
have to start paying, their risks from the additional medical therapies 
required are limited to the policy maximum limits. They get to ration health 
care in ways that the government could never get away with. They get to 
practice medicine without a license and step between a doctor and his patent by 
deciding what therapy is appropriate. They do not suffer any consequences from 
their bad acts because lawsuits against them are limited.
Laws and economic regulations are not created out of thin air. They are set in 
place to level the playing field.
Do they all work as intended forever? - No. But don't make blanket statements 
about "big government" or "too much regulation" unless you can show me how 
removing regulations would improve transparency and remove negative 
externalities.
I have not heard many people on Medicare trying to get rid of it. Maybe because 
they are old enough to remember what conditions were like for their 
grandparents before it was passed. Does it need work? Yes, but no one seems to 
want to get rid of something that was called "socialized medicine" by its 
opponents before it became law. Every far right objection to even the wildest 
far left healthcare proposal today was also used with the same arguments 
against Medicare and I do not know any doctors who do not take Medicare 
patients because the government is interfering in their practice, or patients 
who say the government is rationing their healthcare.



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