3 ms·

I wasn't aware that state healthcare and state education works well. A few examples of state healthcare systems in Soviet Union / Russia, UK, Hong Kong or Thai

by hkai 7y ago

I wasn't aware that state healthcare and state education works well. A few examples of state healthcare systems in Soviet Union / Russia, UK, Hong Kong or Thailand seem to show that state healthcare is a miserable failure and those who are able to get access to private healthcare will always prefer it. Similar with schools, it appears that people strongly prefer private schools to government schools, even in places where private schools are quite ordinary, not just for the elites, and don't require expensive tuition - competing with government schools for the same kids.

fao_ 7y ago
> seem to show that state healthcare is a miserable failure and those who are able to get access to private healthcare will always prefer it. The reason why the healthcare system in the UK is failing, is because of a multi-fold problem that is too numerous to describe here, but boils down to political sabotage. Two other main reasons come to my mind: One, privatization and outsourcing has caused mismanagement that expanded healthcare delays to an untenable point. Two, to 'repair' the 'failing' NHS, a 'target' system was set up. Hospitals that fail to meet targets have money taken from them, which causes a vicious circle whereby underperforming hospitals do not have the resources to perform better. See: https://www.independent.co.uk/life-style/health-and-families/health-news/nhs-health-service-healthcare-privatisation-a7160771.html https://www.independent.co.uk/life-style/health-and-families... and https://www.bmj.com/content/346/bmj.f1848.full https://www.bmj.com/content/346/bmj.f1848.full Also, as I understand it, the privatization of the USSR's state healthcare system made things _worse_. The OECD reported[28] that unfortunately, none of this has worked out as planned and the reforms have in many respects made the system worse. The population’s health has deteriorated on virtually every measure. Though this is by no means all due to the changes in health care structures, the reforms have proven to be woefully inadequate at meeting the needs of the nation. Private health care delivery has not managed to make many inroads and public provision of health care still predominates. (https://en.wikipedia.org/wiki/Healthcare_in_Russia#Reform_in_1991%E2%80%931993 https://en.wikipedia.org/wiki/Healthcare_in_Russia#Reform_in...)

by hkai 7y ago

fao_ 7y ago

> seem to show that state healthcare is a miserable failure and those who are able to get access to private healthcare will always prefer it. The reason why the healthcare system in the UK is failing, is because of a multi-fold problem that is too numerous to describe here, but boils down to political sabotage. Two other main reasons come to my mind: One, privatization and outsourcing has caused mismanagement that expanded healthcare delays to an untenable point. Two, to 'repair' the 'failing' NHS, a 'target' system was set up. Hospitals that fail to meet targets have money taken from them, which causes a vicious circle whereby underperforming hospitals do not have the resources to perform better. See: https://www.independent.co.uk/life-style/health-and-families/health-news/nhs-health-service-healthcare-privatisation-a7160771.html https://www.independent.co.uk/life-style/health-and-families... and https://www.bmj.com/content/346/bmj.f1848.full https://www.bmj.com/content/346/bmj.f1848.full Also, as I understand it, the privatization of the USSR's state healthcare system made things _worse_. The OECD reported[28] that unfortunately, none of this has worked out as planned and the reforms have in many respects made the system worse. The population’s health has deteriorated on virtually every measure. Though this is by no means all due to the changes in health care structures, the reforms have proven to be woefully inadequate at meeting the needs of the nation. Private health care delivery has not managed to make many inroads and public provision of health care still predominates. (https://en.wikipedia.org/wiki/Healthcare_in_Russia#Reform_in_1991%E2%80%931993 https://en.wikipedia.org/wiki/Healthcare_in_Russia#Reform_in...)