There is something I would like to point out: the State is the only institution that can work at scale without having to extract benefits. It's the only thing t

There is something I would like to point out: the State is the only institution that can work at scale without having to extract benefits. It's the only thing that can get the economies of scale without having to pay the shareholders, it just has to break even. A State insurance is a quite different beast from a private insurance on this aspect for example. So giving money for people to buy a private insurance, or having the state running the insurance is very different.