[lobal]

> They actually have to keep costs sane for their system to continue existing.

That is also the case for US insurers. The only difference is if the government denies life saving treatments, people protest. If private insurers do so, people have no recourse.

[pembrook]

In both situations you have zero recourse. In fact the US Government is less responsive to protest than US businesses are.

US healthcare is one of the most complicated systems of adverse incentives and tangled byzantine public/private spiderwebs ever created. To kill random people involved at 15 layers of abstraction away from the actual root causes thinking that will somehow make it better is probably the dumbest idea I've ever heard.