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> Health care isn't socialised, it is a mixed-system (almost nowhere has a "socialised" system...even the UK, > the most effective systems are mixed like the U
by smcl 6y ago
> Health care isn't socialised, it is a mixed-system (almost nowhere has a "socialised" system...even the UK,
> the most effective systems are mixed like the US system...Germany, in particular, is known for having fly-by-night
> private doctors who will do all kinds of crazy shit if you give them enough money
I think that's missing the point a little bit - when we talk about the UK and Germany having "socialised" healthcare this usually refers to the fact that it's not primarily provided by a mishmash of private insurers and private hospitals run as businesses for profit, but by the state as a service for the populace. It doesn't mean that there's not also a small private healthcare market for the wealthy to get quicker treatment in fancier facilities or to get unusual or elective procedures. One side effect of this is that there’s basically no anxiety about losing your access to healthcare if you lose your job or choose to quit - it’s just not part of the equation. This is the main point being made here. Oh and I think we should be very careful using the words "effective" and "US system" so close together in a sentence when talking about healthcare :-)
There are interesting examples of countries who have "mixed" systems though - Netherlands (where the healthcare company I work for are based) and Czech Republic (where I live) both have a sort of hybrid system of a market of health insurance companies in tandem with govt funding. And while ČR's isn't particularly spectacular, NL is very highly regarded worldwide. Frankly I'm a little surprised that those who are against M4A or single-payer don't ever cite it. Could be because the government still contribute more than the private insurers.
- hogFeast 6y agoI have no idea what you mean...Germany is the European version of the US healthcare system. It is very high-cost, the private sector is not small at all, and it isn't only used by the wealthy. Again, German doctors are kind of notorious. The reason why people don't mention NL is because it doesn't fit anyone's narrative. In the US, they have a mixed public/private system with a large private sector so their solution is: someone else should pay for my healthcare. Mixed systems are less attractive because, to a large extent, that is what the US has already (the US is exceptional because of the administration/ancillary costs in their system, not the structure). I agree though, NL is very good. The results are pretty average but it is very well optimised overall. I am from the UK, and healthcare is unbelivably bad because it is so ideological...that is definitely the wrong road.