The USA is a mixed economy, like most advanced economies. That means it uses both communist and capitalist ownerships of production in different situations. Hea

The USA is a mixed economy, like most advanced economies. That means it uses both communist and capitalist ownerships of production in different situations. Health care is an interesting failure case, where the specific mix of private and public ownership has failed in some ways (note that concierge services in the USA are not available in all countries, and there are many treatments that are only available in the USA and cannot be easily accessed elsewhere so there are some advantages). Communism must utilize some sort of bureaucratic system as otherwise technocapital feedback loops will re-emerge. So there has to be a human control system in place to monitor and squash these sprouts of cancerous growth. A worker owned cooperative would not be a communist system, since the means of production are held by a private collective and not by the public society. It’s no different than a private family owning capital, albeit less incestuous.