My friend, you’ve been sold a story about Canadian healthcare that is a complete lie. It’s a province-based system that is in complete shambles. Just look at what Doug Ford, the premier (equiv. to governor) of Ontario has done: https://www.ona.org/news-posts/20221124-healthcare-union-sos/
What would likely work the best in the US is a system akin to Australia’s. It’s federal-based, and is a combination of public and private. Private health insurance still exists to cover “gap” fees and similar, but, similar to medicaid, low/no-income earners don’t pay. America is already doing most of this, but nationalising most hospitals would be required, as well as forcing private health insurers to divest ownership of other medical clinics. This would be to eliminate the inane “in-network” crap, which we don’t have in Australia (for the most part).
Doctors here aren’t employed by the government like with the NHS in the UK either. They’re able to run private clinics, and can charge above the government “bulk-billing” rebate. That government rebate is set nation-wide for all services in a master price-list, and is always paid out for those services whether the patient has private health or not. Then the provider and insurance negotiate for what is paid above and beyond that only. This gap fee can be paid directly by the patient, or by private health insurance. Clinics generally waive these fees for both disability and aged pensioners.
It’s far from perfect, but I think the US would need to follow a system like this. Otherwise doctors, used to a certain wage and lifestyle, would likely revolt in some fashion.
This take really completely misses the point of my comment. US doctors still make much more money than UK ones who work under the NHS. Obviously insurance companies and hospital administration make the vast majority of it. They can safely be ignored if you were transitioning the system, as they provide literally no value. If you try and pay all the doctors less though, and they revolt, you won’t have anyone to do the actual work.
My doctor wants me to come in monthly just to see him for 5-10 minutes just so I can get refills. The price is over $200, but I only pay $65. Plus the cost of perscriptions. Over the course of a year I am paying over a weeks pay just so I can have meds.
My friend, you’ve been sold a story about Canadian healthcare that is a complete lie. It’s a province-based system that is in complete shambles. Just look at what Doug Ford, the premier (equiv. to governor) of Ontario has done: https://www.ona.org/news-posts/20221124-healthcare-union-sos/
What would likely work the best in the US is a system akin to Australia’s. It’s federal-based, and is a combination of public and private. Private health insurance still exists to cover “gap” fees and similar, but, similar to medicaid, low/no-income earners don’t pay. America is already doing most of this, but nationalising most hospitals would be required, as well as forcing private health insurers to divest ownership of other medical clinics. This would be to eliminate the inane “in-network” crap, which we don’t have in Australia (for the most part).
Doctors here aren’t employed by the government like with the NHS in the UK either. They’re able to run private clinics, and can charge above the government “bulk-billing” rebate. That government rebate is set nation-wide for all services in a master price-list, and is always paid out for those services whether the patient has private health or not. Then the provider and insurance negotiate for what is paid above and beyond that only. This gap fee can be paid directly by the patient, or by private health insurance. Clinics generally waive these fees for both disability and aged pensioners.
It’s far from perfect, but I think the US would need to follow a system like this. Otherwise doctors, used to a certain wage and lifestyle, would likely revolt in some fashion.
Its not the doctors who are reaping the benefits its the insurance companies and hospital administration that make most of the money
This take really completely misses the point of my comment. US doctors still make much more money than UK ones who work under the NHS. Obviously insurance companies and hospital administration make the vast majority of it. They can safely be ignored if you were transitioning the system, as they provide literally no value. If you try and pay all the doctors less though, and they revolt, you won’t have anyone to do the actual work.
My doctor wants me to come in monthly just to see him for 5-10 minutes just so I can get refills. The price is over $200, but I only pay $65. Plus the cost of perscriptions. Over the course of a year I am paying over a weeks pay just so I can have meds.