| Medicare, Medicaid (Some states better than others), Veteran Affairs Health system. There are definitely examples of universal healthcare that seems to operate well in small universes. From CMS on National Health Expenditure [1]: > NHE grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP). > On average over 2021-30, National Health Expenditures (NHE) and Gross Domestic Product (GDP) are both projected to grow 5.1 percent per year; as a result, the projected NHE share of GDP in 2030 (19.6 percent) is similar to 2020 (19.7 percent). McKinsey [2] cites > Of the nearly $4 trillion spent on healthcare annually in the United States, administrative spending is about one-quarter of the total; delivery of care is about three-quarters. Nearly a trillion dollars in administrative spending that could otherwise go into care delivery! (Yes, some administrative spending will remain, but the pie is so large). That just shows that entrenched forces are strong. [1]: https://www.cms.gov/research-statistics-data-and-systems/sta... [2]: https://www.mckinsey.com/industries/healthcare/our-insights/... |