It means that I sincerely believe that when you pay e.g. 100 million a year as a country for healthcare, you can get more for your money from someone who pays the healthcare bills from that amount than from someone who starts by taking 10% of that as a profit, takes another 10% to pay it out to shareholders and then sub-contracts someone to do the actual work, where the sub-contractor takes 10% of those 80% to use as a profit, takes another 10% to pay the shareholders and so on...
There can be mismanagement in both systems.
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