[EvanAnderson]

Because the supply is constrained I feel like that's the case regardless of how the system is financed. (There are only so many providers, facilities, etc.)

It seems like the core problems with US "system" come from having a "shadow" socialized system (by way of EMTALA[0]) that offloads costs onto the "free market" (read: patients or insurers who can pay) and a shocking inability to have a mature public conversation about how care will be rationed. (That conversation still happens but it's between providers and insurers and not subject to public scrutiny.)

[0] https://en.wikipedia.org/wiki/Emergency_Medical_Treatment_an...