Why do we have to assume a publicly owned utility wouldn’t be able to focus on safety and efficiency at the same time? I mean, there’s data on Medicare being mo

Why do we have to assume a publicly owned utility wouldn’t be able to focus on safety and efficiency at the same time? I mean, there’s data on Medicare being more efficient than private insurance[0]. Why is this different? I’m not sure I’m convinced that the profit incentive needs to exist for them to worry about costs. [0] https://www.consumerwatchdog.org/blog/private-insurance-vs-medicare-truth-numbers https://www.consumerwatchdog.org/blog/private-insurance-vs-m...