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But more expensive and given to everyone can be sociably better than cheaper and more efficient.
You've said a lot of things on the last page that I'd like to reply to, but this quote seems to encapsulate your argument so I'll just focus on it for now.
That quote is correct for a few types of resources, most of which aren't scarce. Air, for example, would be sociably better if it were given to everyone. I think an ultra-capitalist dystopia where only land owners have the right to free air (and the technology to exclude air to others) would definitely suck.
The quote is also correct for 100% inelastic resources. For example, if in the far future the atmosphere was polluted with some deadly contaminant, and each living person on the planet required one iodine pill per day to avoid getting sick from it, then that would be an appropriate item to socialize. The reason has nothing to do with everyone needing it, and everything to do with the fact that there would pretty much no competing alternative use for iodine in the market, and no need for anyone to use more than one per day.
The thing is, there really are no purely inelastic resources. I had to bend over backwards to contrive an example of one. Almost every scarce resource in the economy has alternative uses of varying levels of value or urgent need to people. Water, for example, is fairly inelastic, as everyone needs a couple of liters of it per day to survive, but it is a resource with thousands of alternative uses, some of which are vital to a functioning economy. Free water is far more likely to be squandered, while priced water is more likely to be conserved. Thus, it is a very bad idea to socialize water to a large extent, other than making sure everyone gets the necessary two liters. This argument is lost on all well-meaning socialists who believe water should be a basic right of citizens to have. And the socialists are currently winning this battle. Private water is practically non-existent in developed countries, and it shows. Shortages are emerging all over, with California being in a really bad one, currently.
Healthcare is elastic as well, but in a different way. When you're having a heart attack, you need bypass surgery, there is often no feasible alternative. When you have cancer, you need chemotherapy. The elasticity with healthcare demand comes because our behavior has an effect our likelihood of getting sick. People who smoke are more likely to get lung cancer. Obese people are more likely to get diabetes or heart disease. Regulating risky behavior sort of comes with the universal healthcare package, and that's one of the many reasons I am against it. If the state could just give out the free healthcare and leave it at that, I would have less quarrel with it. But that's not ECONOMICALLY feasible for them is it? The economics express themselves regardless of whether you have a free-market, socialist, or even communist-based system.
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