I'd go with MoneyCaid. Health run care by big bureaucratic business deeply intertwined with big bureaucratic government. So there's lots of money flowing, but not as much care.
As someone who got a peak into some of the intimate details of a large Hospice services provider, I have to agree. The fact that there are, no matter what they call themselves, salesmen who wine and dine hospital and senior home officials so that their employer can be made a part of their hospice pipeline is sickening. What’s worse is when you discover how many “palliative” patients will routinely temporarily leave care for surgeries, then cycle back on, for years.
Not to mention that many of my relatives, and myself, have been egregiously misbilled or convinced to purchase very expensive, extremely unnecessary devices/treatment. I’m sure a lot of people in healthcare are good, but the people calling the shots - including even some doctors - don’t give a shit
Germany too has large businesses providing health care and mucho government. When I had my tonsils removed a few years ago, a €>1b/y organisation did the knifework, another organisation with an even bigger budget paid, and neither of them set the rates.
So why does this combination work in Germany and fail so spectacularly in the US?
Yep. It's also important to understand that doctors - rightfully - still do pretty well by themselves in countries with single payer or other systems. It's all the extra insurance infrastructure that doesn't exist/rake in money hand over fist.
Well, yes... but it's not really the insurance companies fault. They're regulated and can only make a percentage of total costs so they need spending to increase so they can deliver growth to their stockholders. They negotiate higher prices for the consumer with the large medical services and drive out low cost providers so they can provide stable dividends. They make collecting benefits or reading a bill impossible and renege on agreed payments so that they can pay their employees to live in the style they are accustomed to.
Actually, I hate the player as much as the game. It's disgusting.