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by jamil7 321 days ago
> In every public-healthcare country, this happens.

Outside of Canada and the UK this isn't true.

> Because incentives are stacked against delivering to the patient and for increasing spendings.

Germany, The Netherlands and Japan all have regulated competition models.

> It’s the tragedy of the commons.

Public healthcare isn't a free for all, its regulated, actively managed and budgeted.

2 comments

I wouldn't use the Netherlands as a great example either. The family doctor model is slowly disappearing, replaced by private clinics. It is relatively difficult to get appropriate treatment for anything, and there are long waiting queues even for intake appointments. It has only been getting worse in the past decade.
> > It’s the tragedy of the commons.

> Public healthcare isn't a free for all, its regulated, actively managed and budgeted.

Not what I mean. It’s racist. Public jobs are being reassigned in a racist way to help whoever the currently-elected leader wants to favoritize, and, as the NHS ad says: “This is us, now”, clearly demonstrating a no-whites ideal (NHS’s intentions, not mine).

Public health funnels money from people who paid to get coverage, to, on one part, those would be rejected in a normal system (non-insured people) because it’s easier to say yes when it’s diluted; to to, for the second part, people self-selected by the group of currently-employed people, ie in the UK it means that normal people are selected with all criteria but protected classes (the legal term, “protected classes”, I mean) have priority for those jobs.

You may pretend the NHS is not racist, but the NHS actions speak for themselves.