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It's a great refrain, yet after living through 40 years of successive privatisations, public-private partnerships and so on, it has repeatedly failed to deliver the promised better efficiency. Maybe one or two succeeded. Profits and higher exec pay, certainly. Consolidated and bought up by someone else's state utility, as profit centre, yep. Removed from being a political football where the parties on the right of centre consistently under-fund something to "prove" it needs the freedom of private enterprise, again, certainly. Just about every effort to "bring the benefits of the market" to the NHS have made it less efficient, or added layers of additional expense. Governments, of course, often did encourage, and achieve, sometimes remarkable efficiency. Until it became simply dogma to change it, for change's sake. Few services or arms of government got a blank cheque, except periodically the military. Not surprisingly there's considerable inefficiencies around military spending. It's funny though, it usually turns out to be the privatisation, the socialisation of a private industry's pollution, accident or other abuses after deregulation that wrecks figures. Like, say, a private sector prison performing so poorly it has to be snatched back into state control, banking bailout, or the public private partnerships which prove disastrous for government return on investment. These are the ones castigated in assorted committees, who are constantly questioning efficiency and return on investment. |
The rejoinder here is generally that nationalization also has a terrible track record. Even in domains where some governments have performed efficiently and well from the beginning, governments which take over from private owners often do quite poorly.
Of course, that doesn't mean I'm in favor of privatization. It's entirely possible for both transitions to be primarily harmful, and indeed it's fairly likely if both are championed by people who see a personal benefit. There's a bit in Hitchhiker's Guide where a driver thinks the rain is so heavy his wipers aren't helping. When he turns them off, things do get worse, but when he turns them back on they don't get any better. I've heard multiple Brits cite this to explain the way nationalization and privatization of rail has worked: nationalization brought waste and unreliability, privatization brought gouging and line closures, but each left the harms of the other intact.