alt Hacker NewsThe U.S. system is neither fish nor fowl, there is more spending per capita than other countries' public systems and endless amounts of red tape because instead of one government bureaucracy you're also dealing with the insurance networks, the providers, etc. I certainly don't think it'll be automatically cheaper, but one can't help but think that the current system encourages hop-ons that exploit the inconsistencies and convolutions. It's like one big nightmarish parody of public–private partnerships.
But our publicly run systems are full of inefficient bureaucracy and red tape, too. Why shouldn’t we assume our public healthcare system would be operated the same way as the public school systems in Chicago, New York, or Los Angeles?
Moreover, there is a massive amount of overcare that americans aren’t willing to confront. My wife’s grandmother had a stroke at 87 and was airlifted from rural oregon to a hospital in portland. She had only 3/4 of her lungs after having cancer in her 60s. The doctors wanted to do an intensive intervention, which didn’t happen only because she refused and died peacefully the next day. My parents are on medicare and they just wander into the ER every time their blood pressure goes too high. I took my 7 y/o son in for a black eye after he ran into a table. The doctor looked at him, concluded there was almost no chance of internal bleeding, but ordered an MRI (or CAT scan, I forget which) “just in case.” We got one and the results within 90 minutes because we just have million dollar machines lying around “just in case.” My daughter went to get her retainer at a small dental office in exurban Maryland, and the office had four people working at the checkin desk. I think this practice has only three dentists total.
America’s “customer is always right” culture means it will be politically impossible to roll back any of this.