I am a French Canadian from Québec. French Canadians for a lot of reasons are generally Social Democrats and thus, on the Left side of the scale.
Some of us are a little more to the Right, but our right is often on the left of the Democrats.
Recently, I realized when debating with friends and on Reddit (or sometimes just lurking on Reddit), that Left and Right are just labels which prevent us from seeing what I see as an obvious solution.
Let me start with the clear example which made me see the way:
Let's imagine there's only 2 positions on Health Care:
1 ) The Right wants free enterprise and competition to improve the health care service. Hospital and clinics should be private and you need to buy private or collective insurance or pay cash.
2 ) The Left wants a 100% public system. The Government manages the hospitals and the clinics and pays for everything from your taxes. You never have to pay a penny except for some optional things (like a private room and parking).
Which one do you prefer ? Pick before continuing.
Personally, I'd hate both.
You would probably say that the Right position was roughly what the US had before Obama and you'd be partially right. You still have Medicare and some state options, but overall, you'd be right.
You would probably say that the Left position was roughly what Canada had, and you would be WRONG.
Why ? Because not all health care offering is managed by the government. In Québec (I can't speak for the other provinces), clinics are privately owned by doctors and independently operated from the government.
But if it's registered with the RAMQ (it is unless it doesn't want to), it's free to visit it. The government pays for all your bills. You don't even SEE the bill.
Here is how it works :
Let's say I am a Doctor. I can work in a hospital, when I get paid say: 65$ per basic exam I give.
The 65$ used to be the rate in Québec but I suspect it's much higher now.
To keep working in the hospital, I need to guarantee I will at least try to cover certain hours of the schedule barring illness and vacation.
They might call a doctor for replacement, but to be on staff, you need to fill a pre-made schedule.
Or, I could work in a private clinic. The government will still pay me 65$ per basic exam, but 12$ is amputated to pay the clinic. That 12$ serves to pay the rent, the secretary, the supplies, etc..
Clinics are often more flexible for doctor, but they have less urgent patients.
Or I could start my own clinic. I would make 53$ per patient I see and use the 12$ to pay for my clinic AND pocket 12$ per doctor who also works in the clinic. I don't need to pay him, the government does it.
Private clinic can be run roughly anyway they want provided they accept everyone not just prior patients or people from a certain town.
If you show up, they have to see you (unless they run out of time and the doctor needs to leave, then too bad for you but it rarely happens).
This, to me, it clearly a RIGHT wing solution: clinics can be opened without asking the government and without requiring an approval process more complex than if you were opening a restaurant.
You need to follow certain rules regarding hygiene, protection of privacy for the files, etc...
As far as I know, you don't even NEED to be wheelchair accessible (but I could be wrong).
Only condition is : the owner needs to be a doctor and you cannot charge patients who has the healthcare card other than for approved fees (for example, freezing a wart is 10$ a piece).
It made me think, are there other alternatives like this ?
Some cities have private contractors for garbage and street repair and others have cities employees doing it.
Why not have the government pay from our taxes for services like that and determine what they are willing to pay for those services (like they do for the clinic's fees), which is Left wing solution,
but then they open up the request for bids up to that published amount.
For example, the city determines it that pick up the trash for 1 millions dollars per year for the next 5 years. Before hiring the employees, it offers the detailed contract for bids, itself bidding 5 millions $.
The lowest bid gets the contract, which could be them.
But the contract is CLEAR. Not Right wing open contracts, but very detailed and enforceable on quality.
In fact, the drafting of the contract itself has a cost and it could offer the drafting under the same rules.
The state government could even open a consultation firm which helps the cities write those contracts. Perhaps a few lawyers, but that firm is in competition with the other firms offering the same service.
The difference with the Right wing way is that the government still pays for the services from our taxes, but the way it spends our taxes is less wasteful, keeping the spending part of our government smaller.
Another example that is perhaps clearer:
Let's the say the government thinks it costs 10,000$ per feet to build a highway (disclaimer, I have no idea how much it really costs).
Here at least, it would call for bids and companies would bid. Often, the lowest bid if over the government's estimate. Not always thought. But often.
One of the theories is collusion. The companies know they don't have a lot of competitors and they all agree to raise the prices in secret.
What the government could do is themselves also bid on the contracts.
If they are the lower bid, they build it themselves at that cost, perhaps by just managing a groups of subcontractors who were too small to bid on the big project. In fact, I am sure a few of the companies who bid would be willing to then do it as a subcontractors at a lower cost rather not at all, having lost the bid, but that's another subject.
What do you think ?