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They can be efficient, but I ly if the incentives align towards the desired definition of efficiency. If you give a company a natural monopoly and protection from competition. Then it's most efficient way to make money is just to raise rates
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TVA and the NY power authority are genuinely massive, government run utilities. Both are also known for pretty low power bills.
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Nice! I didn't know about those. Although it's hard to directly compare rates since cost can be so geographically dependant.
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