As usual with all of the deniers of efficient, cost effective healthcare for all, you pull the redefinition game of the vocabulary.  Privatization is healthcare for profit and adding costs to fill the pockets of Wall Street paper hangers, stockholders and management hired by the same.  Millions in additional costs are added to the industry devoid of any relationship to healthcare.  Indian Health Service is not "privatized".  All revenues go into the provision of services.  There are no stockholders or Wall Street Bankers or insurance corporations involved.  The sole intent and function is to provide the best healthcare possible with the resources available.  Any deficiencies within the system are the fault of Congress and administrations constantly shackling the system with budget cutting for political purposes only.  The Religious(mainly Roman Catholic) are privatized because they are a cash cow for the church and ruled by Catholic prelates restricting services and gouging the patient