I don't know how you eliminate both insurance or universal coverage - because costs are so randomized and potentially catastrophic. It isn't
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...like our system was either well priced or achieved world beating outcomes for the price, as it was before.
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I don't see how high cost procedures ever become affordable to working men/women without either affordable insurance or universal coverage.
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I mean like most things I'm genuinely open to alternatives and have a deep suspicion of status quo and commonly accepted "wisdom" on things.
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It's just having experienced the healthcare system in many countries I've yet to see a completely on demand pay as you go system work well.
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Replying to @richarddjordan @St_Rev
My dog had cancer surgery, meds, chemo, etc. Cost was not fun but hardly bankrupted us.
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Yeah, when you hear horror stories of huge bills, remember that that's always fake money (which the worst off are expected to pay, ofc.)
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"Our baby's heart condition racked up $450k in bills"...which your insurance actually paid about $200k on, and would cost about $80k cash.
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Which is still crippling! But the numbers are all fake, the system is insane.
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Replying to @St_Rev @richarddjordan
Exactly. Plus all the added costs from insane medical billing and regs. have TWO profit centers is insane.
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GPs spend about half their time/close to half their money on insurance and billing. Many give steep discounts for cash. But you have to ask.
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. Banned in Sweden. SubGenius, Zhuangist, white-hat troll. Defrocked mathematician. Brain problems.