When you grow up in this country one thing that’s wired into you early is that the government can’t do anything right. The free market is the only way things get done. Public is a dirty word. By the time you’re an adult, it sits in your head like it’s always been there. You don’t question it any more than you question gravity.

The problem is that it puts so many solutions out of reach and out of our imagination.

If we look around at the things that make our society work and our lives better, we can see we’ve been duped from the start. This didn’t all come from some pure, untouched version of the free market. Our roads, our bridges, libraries, fire departments, the internet, Social Security. All of these things happened because we came together as people and decided we wanted them.

These weren’t accidents. They weren’t side effects of private competition. They came out of a period when ordinary people had power. Real power. Power to demand that the systems they paid for actually delivered. The government was the instrument of that power. Not a side player. Not a check writer. Not a referee. A doer. A builder of things, on behalf of the people who built it.

In 1981, more than 40% of the hospitals in this country were owned by federal, state, or local government. Cities and counties ran their own hospitals.

That’s the idea we don’t name anymore. The idea that the public has the right to organize, to own, and to demand. That’s the competing idea. And without it, the system has no counterweight.

That tension mattered. It forced decisions. It forced investment. It forced the country to build.

Now that pressure is gone. Not completely, but enough that it doesn’t function anymore. There’s no real counterweight shaping outcomes. And what you’re left with is a system that just expands in the direction of profit. Profit over efficiency. Profit over outcomes. Profit over people.

You can see it most clearly in healthcare. We spend nearly six trillion dollars a year on it. Six trillion. And we are not the healthiest country on earth. We are not even close. We are paying the most and getting the least. That’s not an efficiency problem. That’s a power problem.

We’ve run this experiment for decades now. Consolidation, extraction, pricing that has no relationship to reality. It’s not competitive in any meaningful sense. It’s a closed loop. The product isn’t working. People feel it every day. They don’t need a study to tell them.

And here’s the thing nobody remembers. We used to own a lot of this. In 1981, more than 40% of the hospitals in this country were owned by federal, state, or local government. Cities and counties ran their own hospitals. States ran academic medical centers. The federal government ran the VA, military hospitals, the Indian Health Service. We the people owned the means of caring for ourselves.

That’s what made the whole system function. Not the charity of it. The leverage of it. We knew what it cost to set a bone. We knew what it cost to do a bypass. We knew what it cost to deliver a baby. Because we ran the hospitals where it happened. We paid the salaries. We bought the supplies. The numbers were public and the numbers were real.

You can’t lie to someone about the price of something they already produce. Public ownership wasn’t an alternative to the market. It was the thing that kept the market honest. It was the public’s seat at the table. It was the public’s power over the price. Strip it out and the private side stops competing and starts extracting. That’s not a hypothetical. That’s what happened. We sold the seat. We lost the power. The bills came due.

There was a time when we knew certain things were too important to leave entirely to the market. We didn’t let private companies own nuclear weapons.

Today that public share is closer to 15%. Most of the rest has been sold off, shut down, or absorbed into chains. What’s left is doing the hardest work the private system refuses to do. Public hospitals still handle most of the trauma care and most of the burn care in this country’s cities. They are the safety net. They are also the proof that we know how to do this. We just decided to stop.

Same thing starting to happen with AI. Something as transformative as the Industrial Revolution, arguably bigger, is being built and controlled by a handful of private actors. Massive margins. Massive control. No real public stake. No real competition in the way we used to understand it. No seat at the table for the rest of us.

There was a time when we knew certain things were too important to leave entirely to the market. We didn’t let private companies own nuclear weapons. We didn’t let them build private armies with that kind of power. We understood the scale of the risk. The consequence of getting it wrong.

AI sits in that category. Healthcare sits in that category. These are not normal sectors. They shape everything else. And the question of who owns them is the question of who has power in the country that comes next.

It’s not about fairness. Fuck fairness. This is about power. About whether ordinary people have any leverage left in a system that has spent forty years stripping it from them. About whether the country we live in is something we shape or something that happens to us.

Here are the numbers. The top 20% of earners in this country now........

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