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by orwin 2243 days ago
At least in France, the liberalisation of our healthcare system from 2005 to today came with a huge drop in efficiency and increase in price (subsidized ofc, as it is still universal healthcare, but still)[0][1]. Act tarification and the bureaucratic ocntrol of the hospital mean that more time is needed for service chiefs to do paperwork instead of... curing people, and the huge increas in private care use is an indicator of the public health service. Also as more and more acts were driven off universal healthcare to private insurance (that your employer have to get for you if you don't have one, but that is paid on your salary) was in fact an increase in cost for everyone. Public healthcare administration cost in France is 18% of their budget [2]. Care to guess what private insurance company administration cost is? 27% for swisslife (i don't know if this account for privatised profits or not sadly).

Also nurses and other low-level health workers have low pay compared to the rest of the first world as their salaries did not increase as much as other wokers.

[0] https://www.who.int/whr/2000/en/whr00_en.pdf

[1] https://www.commonwealthfund.org/chart/2017/health-care-syst...

[2] (doing the math myself i found 13% but i think that's because they are also paying the retirement pensions)