I meant it to be both, the institution as a whole.
The idea of "oh but what about the jobs of everyone in insurance company, think of the admin assistants and poor call center workers" has been presented before as an argument against a single payer system.
The idea of "oh but what about the jobs of everyone in insurance company, think of the admin assistants and poor call center workers" has been presented before as an argument against a single payer system.