[kincardine]

Contractors milking their customers is an inefficiency introduced by privatization, because without privatization it doesn't happen... How state employees behave or the competency of the buyer is irrelevant.

Saying that the inefficiencies due to privatization are "approaching zero" is a bit disingenuous.

[zigzigzag]

Just replacing contractors with employees just means it's the employees milking the NHS instead, but now with the downside that they're unionised and hard to switch to an alternate provider.