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This cartoon, of course, references Grover Norquist's famous line about wanting to reduce government to the size where he could drown it in a tub, like some unfortunate critter. One concept anti-government types aren't too clear on is that waste is hardly unique to the public sector. I'm not saying government programs are necessarily more efficient than privately-run ones (although in the case of health care, public plans are massively more cost-effective). But money out of your pocket is money out of your pocket, whether it's going to the guv'mint or a corporation.
Buy a signed print of this cartoon from the artist.