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Which raises the question: Would the existence of a dominant government provider of health insurance be good or bad?
And the fact that they're a large government provider possibly helped insulate them a little bit during this period.
I would also say that you have–and I'd love Ron to interject on this 'cause I'm not 100% sure but I do believe that IBM is a very large government provider.
The Saudi Ministry of Health is the major government provider and financer of healthcare services in Saudi Arabia, responsible for 60%% of the total health services in the country; other government bodies, including specialist referral hospitals, security forces and army medical services, and school health units of the Ministry of Education, account for another 20%[10]0].
This is another instance of willful blindness as the reality is that the largest government provider -- the Veterans Administration -- consistently outperforms private providers in customer satisfaction surveys, and a New England Journal of Medicine study examining the VA using 11 separate measures of quality, found the VA to be "significantly better" than private providers on all measures.
At SEWA, the median bill with a private provider was US$48, while it was only US$28 with a government provider.
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Few government providers chose to engage in dual practice, generally seeking the autonomy provided by private practice.
A definition of governance which includes this political dimension is provided by Brinkerhoff and Bossert [ 2]: "Governance is about the rules that distribute roles and responsibilities among government, providers and beneficiaries and that shape the interactions among them.
This is because, government providers cannot pick winners, even if they're all dragons.
For instance, they said, a questionnaire created to allow veterans to use private health providers to do physical examinations is longer and more complicated than the forms used by government providers.
Interviews confirm that this discrepancy arises primarily because government providers own their facilities, whereas most private providers lease their facilities.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com