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by ajuc 1640 days ago
Looking at spending per capita it's clear that American problems aren't caused by lack of money in the system.

They are caused by high barriers of entry, which in turn are caused by entrenched elites gatekeeping jobs through absurdly high tuition fees, expecting everybody to take lots of student debt and a very litigation-friendly environment. These costs are then passed on to the general population through a byzantine system of health insurance that leaves a lot of people uninsured.

> Let's take a dream scenario: optimal organisation can make 20% more care available.

In 2020 UK spent 3278 GBP (~4400 USD) per capita on healthcare [1]. USA: 12,530 USD. That's about 3 times less or a difference of 200% [2].

In UK life expectancy is 81.2 years. In USA it is 78.79 years.

3 times more spent to get a worse outcome doesn't seem like "20% difference" to me. Of course there are other factors, but are they enough to overcome 3x difference? I don't think so.

You cannot compare healthcare systems on X doctors per Y patients basis, because the outcomes aren't linear. It's orders of magnitude more expansive to treat many health problems if you go to the doctor 2 years too late. And the outcomes are worse despite the higher costs. Guess what happens when people have to pay a lot for each visit - often they go too late.

[1] https://www.statista.com/statistics/472940/public-health-spe.... [2] https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...