Competition cannot streamline administrative duplication---it is intrinsic to the model.
Kenneth Shuster 13, The author, a rabbi and attorney, received his rabbinical ordination from the Rabbi Isaac Elchanan Theological Seminary, an M.S. in Jewish Philosophy from Yeshiva University, a J.D. from New York Law School, and an LL.M. from NYU School of Law. He is an expert in comparative Talmudic and American law and Jewish medical ethics, and has published numerous articles on Talmudic and American law, and comparative Talmudic and American law. 2013. Article: Because of History, Philosophy, the Constitution, Fairness & Need: Why Americans Have a Right to National Health Care. 10 Ind. Health L. Rev. 75, Lexis
Fourth, it is argued that a competitive, private, free market approach to health care would streamline health care costs to make them more cost effective. 102 However, it is precisely the competition between insurance companies in the private sector that has caused the costs of health insurance to spiral out of control and become unaffordable for so many. 103 A single-payer plan, by providing health care to all Americans regardless of their ability to pay, would keep health care costs down particularly because such a program will not need to spend small fortunes on advertising, consumer influence, and the administrative costs associated with these realities. 104 The lack of competition as a cost-controlling mechanism would apply to hospitals as well as private insurance companies. 105