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@admin @AnCuRuadh @kayeluvian yeah, again, the American system is more decentralized than the NHS but it is hardly decentralized or distributed enough. It's still a horror show and in many respects an even greater horror show.

One thing I ponder a lot tho is the idea that it would be a good thing for a system to operate purely on the basis of viewing its operation as an end in itself (in this case having a medical system that provides medical care because it believes that people deserve medical care). I think that has to be an important and crucial part of any system in order to prevent problematic incentive structures — so in my ideal World any association of workers that provides any service would be oriented towards providing that service at least mostly as an end in itself and composed of people that believe in that mission — but I also think that there's a degree to which Adam Smith is right, and it's actually good not to have to depend on the good will of people, and be able to depend on their self-interest instead. That's why I'm not necessarily in favor of the complete abolition of money (I'd prefer a system of mutual credit and credit clearing that basically operates as a slightly more abstracted and codified gift economy under the hood).