2 ms·
Honestly that whole system is nice idea on the surface that rapidly becomes a nightmare - in my view doing little except encouraging health inequality. One of
by matthewmacleod 6y ago
Honestly that whole system is nice idea on the surface that rapidly becomes a nightmare - in my view doing little except encouraging health inequality.
One of the big problems is that "choice" is much more expensive for some people than others; this means that while I might be able to take a day off an visit a hospital a couple of hours away, it's much harder for someone who does't have access to transport, healthcare, funds or whatever else is required. So that system ends up offering choice only to people who can afford it, and you end up shuffling the poor people off to the less effective local healthcare facilities and your postcode lottery is back.
- aksss 6y agoAre there countries/cities you would point to that have gotten this right? (i.e. proximity of everyone to better quality care regardless of neighborhood?). I mean, some of it is just a function of where doctors prefer to live when they are successful enough to have a say in the matter. Those with a say, like all of us, probably prefer nicer neighborhoods/offices.