You’re punting on the actual question. No government will catch every bad company. What’s the morality of assassinating their CEOs?
And you seem to be drawing a moral distinction between public and private sector that doesn’t make sense. In any system where you have a large number of people paying for the healthcare of a smaller number of people, you need someone to make decisions about what is covered and what isn’t. You’re simply advocating placing that decision making power in a different private actors: a doctor, who has his own interests and motivations. Doctors aren’t any more moral than anyone else. (We demonize the opioid companies, but hundreds of thousands of doctors prescribed those drugs, many receiving benefits to themselves for doing so.)
Nobody gives doctors that much power over spending decisions, including in countries with socialized medicine. Those countries make coverage decision through bureaucratic processes just like private insurance companies do.
But that’s raises an interesting point. There’s lots of public sector organizations that do tremendous harm through bad decisions. Many American urban school districts receive more funding than affluent suburban districts, but generate atrocious outcomes. They create a classroom to prison pipeline that chokes lives in the crib. What would secular morality say about assassinating their executives?
And you seem to be drawing a moral distinction between public and private sector that doesn’t make sense. In any system where you have a large number of people paying for the healthcare of a smaller number of people, you need someone to make decisions about what is covered and what isn’t. You’re simply advocating placing that decision making power in a different private actors: a doctor, who has his own interests and motivations. Doctors aren’t any more moral than anyone else. (We demonize the opioid companies, but hundreds of thousands of doctors prescribed those drugs, many receiving benefits to themselves for doing so.)
Nobody gives doctors that much power over spending decisions, including in countries with socialized medicine. Those countries make coverage decision through bureaucratic processes just like private insurance companies do.
But that’s raises an interesting point. There’s lots of public sector organizations that do tremendous harm through bad decisions. Many American urban school districts receive more funding than affluent suburban districts, but generate atrocious outcomes. They create a classroom to prison pipeline that chokes lives in the crib. What would secular morality say about assassinating their executives?