yep In the "free market" vs. "socialized" medical insurance debate we mostly have the worst of both worlds The only reason we don't have the long waits of some fully-socialized-medicine countries is that BIG MED is all to eager to get you on that operating table to start reaping the cash
>"In 2022 USA citizenry paid just about 4.5 Trillion dollars on health care insurance. Insurance companies paid only about 798 Billion dollars in claims. There were under 340 Million US citizens. That means for every USA citizen insurance companies paid out in claims under $2340. It also means that the average annual amount paid by a US citizen for the anticipated $2340 received from their insurance company was $13,235. Had instead every USA citizen paid just $2500 annually to the government for insurance and was then automatically covered, in theory not only would the government make a profit, but that US citizen would save $10,000. Of course the health care insurers would would lose about 3.7 trillion dollars and our congressmen can't have that. If that happened how could they afford the luxuries they get?"
i'm sure the numbers aren't super great, it's really hard to get accurate numbers in that morass, but it's close enough to make the point we have socialized healthcare right now, but it's got this extra layer where some giant corporation can also pay employees and executives to get in between a doctor and a patient and hassle both of them, and still turn a massive profit rent-seeking behavior and beak-wetters is NOT ALLOW and for the first time, the rent-seekers and beak-wetters have some idea what NOT ALLOW means
@jb having studied this closely (i am making facts up in real time), the long waits are more about insufficient surgeons and tests/imaging that require high-dollar equipment both of these are fixable the cheapest healthcare is preventative, i.e. don't get fat, keep your bloodwork up to date to spot problems earlier, etc. the most expensive healthcare is defensive, i.e. "we're going to run a million tests so i don't get sued into oblivion" provide for the first, keep the second down to a dull roar, and you've saved a hojillion dollars but people tend to get caught up in extreme edge cases, which as a programmer i can appreciate, but come on, let's grab that 80/20 low hanging fruit you goobers
And of course the paradox in all of this shitty healthcare leads to additional health episodes which leads to more profits It is a system that amplifies itself But yes, low hanging fruit, start with the root cause, absolutely I am hopeful RFK Jr will make some impact on the health of the nation's citizens