@egalitaire @TheGreatLlama @Radical_EgoCom good point about the wealth transfer - it is something the Right never talk about or want to recognize. And that wealth transfer mostly impacts the unwealthy majority who can ill afford it.
You cite 4x on admin vs peers and I've seen 2x overall which means there's things we spend less on. Not because it is cheaper, more likely because many have insurance that does not or will not pay for what they need. Which would explain our worse health outcomes.