I completely disagree with the idea that universal medicare cannot work. It has actually worked well enough everywhere else. The insurance companies are not involved at all. as it should be for a universal need. Do you pay an insurance company to provide your food?My key point though is 'well enough' That amazingly in Canada provides a plane trip for a rare brain operation handled in one key place. You simply do not need two places and you have only a handful.What is not provided is best service for discretionary aspects, but so what. The easy fix to all that is allowing queue jumping for cash because there is actually slack enough. Waiting a year for a knee operation is no fun but most are already retired. Paying to have it now is an option.
We are now trending toward a massive improvement in human health and in outcomes as well. This will actually drop the general cost profile.A free market is only possible in the USA if the insurance gaming is excluded. Fifteen percent of that twenty percent is drained by unnecessary admin and insurance profiteering with markups stacked on markups.
Explaining the High Cost of US Health Care: No Skin in the Game