Hi Goosefoot, sorry had an early night so didn't see your reply.
I was making a comparison between money (creation) and real economic productivity which is linked to our (finite) resources.
Pandemic aside - imagine if a government proposed to build 100 new, well-equipped hospitals in a year all around the country; they estimate it will cost 50 billion. (I'm just making up numbers as examples.)
A great idea, given the state of health services in most countries including the UK, Canada etc.
The usual media and public response is How will we pay for it? , How can we afford it? , Is the government being reckless / wasteful with 'taxpayers' money? Etc.
All the scrutiny focuses on the assumption that money is a finite thing, that we will spend too much and the 'public purse' will run dry. (Note, I'm not saying we should be deliberately wasteful with money or not care about analysing the costs of projects, planning budgets and so on.)
When people start to understand how money creation and its use actually works - governments cannot run out of money, our taxes do not pay for central government spending (local councils and devolved administrations are different; they do not have a Central Bank), governments can always create money if it's needed - this changes the nature of public discourse. Of course the government can afford to spend 50 billion. Money is not the issue here as it simply creates it when it's needed / necessary. We know this and we've seen it. And having good quality hospitals all over the country is a necessity. Why should we not have decent healthcare for all? Besides, it's not 'taxpayers' money.
So the discussion can move to more factual and fruitful debate - 100 hospitals in a year is very ambitious.. how much building / raw materials would we need? Do we have enough already or can we easily produce more at short notice? Would we have to import more from elsewhere? If we rely on predominantly imported resources, might that put a spanner in our plans if international relations deteriorate?
What about all the beds and equipment needed, like scanners and ventilators? Again, can we easily mass produce them in a year? Since governments have sufficient leverage and purchasing power, it has an important decision to make - it can order and import from abroad like China at cheap prices or it can choose to sign a contract with our own local manufacturers at reasonable cost so that it stimulates our own economy and provides work to our people (we've seen the decline in industry in UK and how industrial towns and cities have been decimated by lack of investment...).
What about construction staff? Are the current private construction businesses adequately staffed? Do we have to train more people on some government scheme to ramp up the numbers (which will take time)? Would companies divert their manpower from other large scale public or private projects, for example a national affordable house building scheme? This can impact other projects or compete with other pressing social and economic needs.
Once the hospitals are complete, they will all need to be staffed. We need doctors, nurses and other medical personnel - it would be foolish to have 100 hospitals but only a quarter being used because we can't find the staff for the rest. Previous government policies have hampered training and growth of medical personnel by slashing grants and bursaries given to trainee nurses and so on. Most Western countries have lazily relied on a steady supply of willing immigrants to staff health services for decades. We should move towards enabling more of our own citizens to get into medical and nursing school, make it easier for those from lower socioeconomic backgrounds to afford the long years of training, pay them well so that we retain their valuable services for a long time to come. Yes we will still need to rely on immigration now and then to plug shortfalls, but decent governments must invest in their citizens so that employment and wealth genuinely spreads through our communities. It's not handouts that many poor communities need, but decent work at decent pay to enable them to have pride and purpose again.
Sorry I've been rambling, but what I wanted to convey is that public money is infinite and easily created. We are constrained by our real resources and governments (and we who elect them) must make important, and sometimes difficult, decisions on how these finite resources are allocated, short-term and long-term, and how we invest in our people so that there is continuity of prosperity for all.
You don't need communism or some far left political agenda. I know some will disagree, but a healthy mix of good public governance and well regulated private markets can work well. You need a government with a backbone though, that doesn't shy away from enacting public policies that will benefit as many of its citizens as possible instead of letting power and wealth concentrate in the hands of a few and allowing public services and infrastructure to crumble.
And as citizens it's important we understand how economic systems work, what are the pitfalls of current economic orthodoxy, so that we can hold our governments to account and ask the real questions when they come up with ideas and schemes.