a state-owned institution, funded by the people and acting on their behalf and in their interests, has moral, legal, and political responsibilities to meet their needs.
a private organization doesn’t. a private organization certainly doesn’t have an obligation to meet the needs of EVERY person. they can just pick a subset.
if all the private organizations are picking subsets which don’t include you, that’s a strong argument for state ownership.
@Lady that first sentence is only true if the people seize the state, though i would grant that i expect ownership by the US state would probably still be preferable to private ownership