We are rationing. But not in the binary yes/no sense you will get from a bureaucracy designed flow chart. It’s economizing which allows substitution and sharing

We are rationing. But not in the binary yes/no sense you will get from a bureaucracy designed flow chart. It’s economizing which allows substitution and sharing across supply and demand. At least you agree it’s a resource problem and we don’t have infinite healthcare. The point about rich folks being price insensitive is demonstrably false. One key here is that rich and reckless exists, but is a much rarer breed than rich and careful. > much easier for a bureaucracy to handle Navigating bureaucracy favors elite groups even more strongly as it requires education in law, politics, and communication skills most lacked by disadvantaged groups. The biggest problem is if your voice isn’t loud enough you literally have no alternative. The insurance pleading nightmare is exactly this system. They are a rationing bureaucrat. The US has unique demographic problems where the bottom quartile of health and well being demand most healthcare resources. So the sales pitch for European style healthcare sounds like “we are going to make everything slightly worse for responsible people and remove higher end options, so we can better cover super users”.